128层螺旋ct对胆管下端梗阻性黄疸的诊断分析.docVIP

精品论文 参考文献 128层螺旋CT对胆管下端梗阻性黄疸的诊断分析 （南充市高坪区人民医院 四川 南充 637100） 　　【摘要】 目的：探讨并分析经128层螺旋CT诊断胆管下端梗阻性黄疸患者的临床效果。方法：通过数字表法选取2015年4月～2016年4月期间本院就诊胆管下端梗阻性黄疸患者100例，其中病情良性、恶性患者分别50例，均接受128层螺旋CT诊断，纳入本次探究良性组、恶性组，总结分析两组诊断效果。结果：恶性病变患者胆管扩张程度重度患者占比46.00%，显著高于对照组的10.00%，而恶性组患者胆管梗阻端胆管中断患者比例78.00%也显著高于对照组的14.00%，在统计学上差异是有意义的（Plt;0.05）；恶性组患者的梗阻距肝门长度显著多于良性组，且肿块数量显著高于良性组，在统计学上差异有意义（Plt;0.05）。结论：64排128 层 CT 诊查胆管下端梗阻性黄疸患者效果显著，可为疾病的治疗提供可靠的依据。 　　【关键词】黄疸；胆管下端梗阻性；128层螺旋CT 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2016）27-0390-02 　　Clinical application of 128-slice spiral CT tomography in the diagnosis of obstructive jaundice of the distal bile duct 　　Ren Long Jiang Dan Chen Shaoxian Wang Duchun Liu Ningchuan Chen Hao Ren Zhonghuai 　　【Abstract】Objective To analyze the clinical effect of 128-slice spiral CT tomography in the diagnosis of obstructive jaundice of the distal bile duct. Method 100 patients with obstructive jaundice of the distal bile duct treated from April 2015 to April 2016 in our hospital were selected. The subjects were divided into benign group and malignant group, 50 cases each group. Through the 128-slice spiral CT tomography, the diagnosis effect for two groups was analyzed. Result The rate of severe cholangiectasis for malignant group (46.00%) was higher than that of control group (10.00%); the rate of discontinuity of bile duct for malignant group (78.00%) was higher than that of control group (14.00%) (P＜0.05); the counts of lump for malignant group were more than that of benign group (P＜0.05).Conclusion The 128-slice spiral CT tomography has an obvious effect in the diagnosis of obstructive jaundice of the distal bile duct of which it will provide a reliable basis in the diagnosis of the disease. 　　【Key words】Jaundice; Obstruction of distal bile duct; 128-slice spiral CT tomography 　　目前，128层螺旋CT诊断是主要且可靠的胆管下端梗阻性黄疸患者影像学检查方式，作为一种多层螺旋 CT 诊断方式，且主要优点为非侵袭性，且具有较快的临床诊断检查速度、且检查结果准确[1]。我院为探讨并分析经 128层螺旋CT诊断胆管下端梗阻性黄疸患者的临床效果，特选取近期就诊临床患者资料加以分