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彩色多普勒超声诊断胆囊癌的价值研究 被引量:2

Study on the value of color Doppler ultrasound in the diagnosis of gallbladder carcinoma
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摘要 目的 研究彩色多普勒超声诊断胆囊癌的价值。方法 100例疑似胆囊癌患者,均进行彩色多普勒超声诊断分析。以病理诊断结果为金标准,分析彩色多普勒超声的诊断准确率以及肝动脉(HA)、肠系膜上动脉(SMA)、门静脉(PV)的超声检测值。结果 病理诊断结果显示, 100例疑似胆囊癌患者中,阳性97例,阴性3例。彩色多普勒超声诊断阳性准确95例,阴性准确1例,准确率为96.00%(96/100)。HA的收缩期最大流速(PSV)、舒张期最低流速(EDV)、阻力指数(RI)、肝动脉血流量(Qh)分别为(126.63±3.36)cm/s、(37.25±1.63)cm/s、(0.78±0.36)、(2236.36±12.36)ml/min, SMA的平均血流速度(Vm)、体循环血流量(Qs)分别为(52.63±3.69)cm/s、(3095.36±15.63)ml/min, PV的Vm、肺循环血流量(Qp)分别为(24.63±3.36)cm/s、(1452.36±12.36)ml/min。结论 研究证实,在胆囊癌患者诊断过程中,为患者实施彩色多普勒超声诊断的价值较高,能够满足患者诊断需求,提升了诊断能力,所以在诊断过程中,适合将上述诊断技术推广,从而提高诊断能力。 Objective To study the value of color Doppler ultrasound in the diagnosis of gallbladder carcinoma.Methods All 100 patients with suspected gallbladder carcinoma received color Doppler ultrasound for diagnosis and analysis.Taking the pathological diagnosis result as the gold standard,the diagnostic accuracy rate of color Doppler ultrasound and the hepatic artery(HA),superior mesenteric artery(SMA),and portal vein(PV)detected by ultrasound were analyzed.Results The pathological diagnosis showed that of 100 patients with suspected gallbladder cancer,97 cases were positive and 3 cases were negative;the color Doppler ultrasound showed that 95 cases were positive and 1 case was negative,with an accuracy rate of 96.00%(96/100).The peak systolic velocity(PSV),end diastolic velocity(EDV),resistance index(RI),and hepatic blood-flow(Qh)of HA were(126.63±3.36)cm/s,(37.25±1.63)cm/s,(0.78±0.36),(2236.36±12.36)ml/min,the blood flow velocity(Vm)and systemic blood flow(Qs)of SMA were(52.63±3.69)cm/s and(3095.36±15.63)ml/min,respectively,and the Vm and pulmonary blood flow(Qp)of PV were(24.63±3.36)cm/s and(1452.36±12.36)ml/min,respectively.Conclusion The implementation of color Doppler ultrasound diagnosis is of high value for patients with gallbladder carcinoma,which can meet the diagnosis needs of patients and improve the diagnosis ability.Therefore,it is suitable to promote the above diagnosis techniques in the diagnosis process to improve the diagnosis ability.
作者 于毅香 YU Yi-xiang(Zhuanghe Central Hospital,Zhuanghe 116400,China)
出处 《中国现代药物应用》 2021年第23期32-34,共3页 Chinese Journal of Modern Drug Application
关键词 彩色多普勒超声 胆囊癌 诊断方法 价值研究 Color Doppler ultrasound Gallbladder carcinoma Diagnostic methods Value research
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