|本期目录/Table of Contents|

[1]张翠琴,司芩,李茜.多普勒超声相较二维超声在肝外胆管癌诊断中的优势分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(06):566-568,574.[doi:10.3969/j.issn.1672-271X.2016.06.002]
　ZHANG Cui-qin,SI Qin,LI Qian..The advantages of color doppler ultrasound compared to two-dimensional ultrasound in the diagnosis of extrahepatic cholangiocarcinoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(06):566-568,574.[doi:10.3969/j.issn.1672-271X.2016.06.002]
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多普勒超声相较二维超声在肝外胆管癌诊断中的优势分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年06期
页码:
566-568,574
栏目:
出版日期:
2016-11-20

文章信息/Info

Title:
The advantages of color doppler ultrasound compared to two-dimensional ultrasound in the diagnosis of extrahepatic cholangiocarcinoma
作者:
张翠琴; 司芩; 李茜
210002江苏南京，南京中医药大学附属八一医院特诊科
Author(s):
ZHANG Cui-qin;  SI Qin;  LI Qian.
Department of Special Diagnose, Bayi Hospital Affiliated Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210002, China
关键词:
多普勒超声; 二维超声; 肝外胆管癌
Keywords:
color doppler ultrasound;  two-dimensional ultrasound;  extrahepatic cholangio carcinoma
分类号:
R445.1；R735.8
DOI:
10.3969/j.issn.1672-271X.2016.06.002
文献标志码:
A
摘要:
目的 分析多普勒超声相较于二维超声在肝外胆管癌定性、定位诊断中的优势。方法 收集2013年1月-2015年5月经病理证实的60例肝外胆管癌患者的二维超声和彩色多普勒超声检查结果，比较 两者对肝外胆管癌检出率、误诊率、漏诊率及定位诊断上的差异。结果 彩色多普勒和二维超声超声的肝外胆管癌检出率、误诊率及漏诊率分别为76.3%、7.0%、16.7%和73.3%、10.0%、16.7%，前者相较 于后者可显著降低肝外胆管癌的误诊率，两者在检出率、漏诊率及定位诊断上无显著差异。结论 彩色多普勒超声对肝外胆管癌的定性诊断效能显著高于二维超声，但在定位诊断上相较于后者无明显优 势。
Abstract:
Objective To analyze the advantages of color doppler ultrasound compared to conventional two-dimensional ultrasound in the qualitative and localization diagnosis in extrahepatic cholangiocarcinoma. Methods Collected the results of two-dimensional ultrasound and color doppler ultrasound of 60 patients who had been confirmed by pathologically with extrahepatic cholangiocarcinoma from January 2013 to May 2015 in our hospital, and to compare the difference of the two inspection methods at the detection rate, misdiagnosis rate and missed diagnosis rate and localization diagnosis in extrahepatic cholangiocarcinoma. Results The detection rate, misdiagnosis rate and missed diagnosis rate of color doppler ultrasound and two-dimensional ultrasound respectively were 76.3%,7.0%,16.7% and 73.3%,10.0%,16.7%. Color doppler ultrasound could significantly reduce the misdiagnosis rate of extrahepatic cholangiocarcinoma. There were no difference of detection rate, missed diagnosis rate and localization diagnosis between two methods. Conclusion The performance of color doppler ultrasound in the qualitative diagnosis of extrahepatic cholangio carcinoma was significantly higher than two-dimensional ultrasound, but there was no significant difference in the localization diagnosis.

参考文献/References:

[1]Noji T, Tsuchikawa T, Mizota T, et al. Surgery for recurrent biliary carcinoma: results for 27 recurrent cases[J].World J Surg Oncol, 2015,27(13):82. doi:10.1186/s12957-015 -0507-8.
[2]Meister T, Heinzow HS, Woestmeyer C，et al. Intraductal ultrasound substantiates diagnostics of bile duct strictures of uncertain etiology[J]. World J Gastroenterol, 2013,19(6):874-881.
[3]葛贤秀,李全朋,缪林.胆管癌的治疗现状与进展[J].医学研究生学报,2012,25(5):520-523.
[4]Frates MC，Benson CB，Charboneau JW，et al.Management of thyroid nodules detected at our society of radiologists in ultrasound consensusconference statement[J].Radiology, 2011,237(3):794-800.
[5]季勇，钱孝纲.原发性肝外胆管癌的超声与MRI成像比较[J]. 临床超声医学杂志，2012,14(5):345-347.
[6]朱夏蓓，纪建松. 彩色多普勒超声在原发性肝癌与肝血管瘤鉴别诊断中的价值[J]．中国医药导报，2014,28(4):72-74.
[7]孙明鲁,王其军, 刘红光,等.肝外胆管癌的多期螺旋CT评价[J]. 实用医学影像杂志， 2010，11（6）:361-363.
[8]杨平生，董其龙，陈玉辉，等. CT、MRCP、ERCP检查对胆胰系肿瘤诊断价值的对比研究[J].东南国防医药，2007，9（5）：337-339.
[9]游淑红，洪涛，陶荣，等.彩色多普勒超声引导下经皮经肝胆管穿刺置管引流术40例分析体会[J].东南国防医药，2015,17(6):619-621.
[10]Vabi BW, Carter J, Rong R, et al. Metastatic colon cancer from extrahepatic cholangiocarcinoma presenting as painless jaundice: case report and literature review[J]. J Gastrointest Oncol, 2016,7(2):25-30.
[11]金超,窦科峰.肝门部胆管癌外科治疗的热点与难点[J]. 国际外科学杂志， 2013,40(5):294-296.
[12]钱晓莉,司芩，黄声稀，等. 超声普通探头定位经皮肝穿刺胆管置管引流术的临床价值[J]. 东南国防医药，2004，6（5）：339-340.
[13]钟昕,廖锦堂.206例肝外胆管癌超声显像分析[J]. 医学临床研究，2013，30（6）:1074-1079.

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备注/Memo

备注/Memo:
全军“十二五”医学科研基金面上项目（CWS11J263）
更新日期/Last Update: 2016-11-20