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總膽管結石之超音波診斷

Ultrasonographic Diagnosis in Choledocholithiasis

摘要


近年來由於即時性超音波掃描設備和技術之進展,使膽道系統疾病之診斷率提高,尤其對黃疽病人鑑別其阻塞原因與位置更具功效。三軍總醫院自1983年1月至1984年3月止,總共有68例超音波診斷總膽管結石,經回顧分析,在40位接受手術者中,36位證實有總膽管結石,本文僅分析這些病例,以了解超音波診斷總膽管結石之準確率和其限制因素,同時並對總膽管結石診斷困難處及超音波對此項檢查之重要性一併討論。

關鍵字

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並列摘要


The usefulness of ultrasonography in the preliminary evaluation of obstructive jaundice is described in 68 consecutive patients which was collected in 15-month period (from Jan. 1983 to March 1984). Only 40 patients had received operation and 36 cases were proved to have choledocholithiasis. The limiting factors in the diagnosis of choledocholithiasis are the diameter of duct and the size of stone. The technical difficulties in examination are discussed, as well as the role of ultrasound in CBD stone is emphasized.

並列關鍵字

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