【摘要】 <正> 我临床检查室自1980年6月开始应用EUB—22型实时线性超声扫描仪进行了胆胰两脏器的疾病观察,认为对中西医结合治疗急腹症治疗方法的选择及中西医结合非手术疗法的动态观察均有一定的参考价值。本更多还原

【Abstract】 315 cases with operative diagnosis of biliary and pancreatic disorders were reviewed.Consistency with ultrasound pre-operative diagnosis was found in 224(71.1%)cases.partial consistency in 16(5%)cases and incorrect diagnosis in 75(23.8%)cases.Asrevealed by laboratory data.the visualization rate of normal gallbladder was 100%,thatof the pathological organ was 98.8%,that of the normal common bile duct was 97%and the pathological 87.7%;normal pancreas 100%,normal pancreatic duct 78%;anddiseased pancreas 97.1%.Measurements revealed that the average diameter of normalcommon duct was 5.67mm:that of normal pancreatic duct was 2.32mm;and the averagethickness of the head,body and tail of normal pancreas was 2.43,1.71,and 1.37cmrespectively.The diagnostic value of ultrasound in cholelithiasis,cystic dilatation ofthe common bile duct,choledochal carcinoma,pancreatitis,pancreatic cancer and cystwas discussed and the causes of false positive and false negative results were analy-sed.It was suggested that real-time mode ultrasound examination was of extensivevalue,through which not only pathologic diagnosis of both the gallbladder and the pan-creas could be established,but also a differential diagnosis of obstructive jaundicecould be made.Hence it is an objective means of kinetic observation during the courseof treatment of acute abdominal diseases.In some cases the combined use of ERCPand/or PTC.might yield more accurate diagnosis.更多还原