| B超对肝外恶性梗阻性黄疸的诊断及其评价 |
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| 引用本文： | 杨维良,杨学伟,王夫景,王宝成.B超对肝外恶性梗阻性黄疸的诊断及其评价[J].哈尔滨医科大学学报,1993(6). |
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| 作者姓名： | 杨维良 杨学伟 王夫景 王宝成 |
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| 作者单位： | 哈尔滨医科大学二院普外科
(杨维良，杨学伟，王夫景)，大兴安岭地区呼中林业局医院(王宝成) |
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| 摘 要： | 本文报告了手术治疗肝外恶性梗阻性黄疸212例。根据B超(BUS)检查结果与术中所见进行对照研究,认为BUS对肝外恶性梗阻性黄疸与内科黄疸的鉴别诊断(正确率99%)、梗阻部位的定位(准确率95.3%),提供了可靠的依据;对恶性梗阻性黄疸的病因诊断仍不理想(阳性率59.4%)。因此BUS检查应列为常规或首选方法,对于确诊或定性有困难者,再选用ERCP或PTC。
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| 关 键 词： | 梗阻性黄疸 恶性 壶腹部癌 胰头癌 胆管癌 |
Diagnosis of Extrahepatic Malignant Obstructive Jaundice with BUS and Its Evaluation |
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| Yang Weiliang et al.Diagnosis of Extrahepatic Malignant Obstructive Jaundice with BUS and Its Evaluation[J].Journal of Harbin Medical University,1993(6). |
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| Authors: | Yang Weiliang |
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| Abstract: | The authors reported that 212 cases were operated for the extrahepatic malignant obstruetive jaundice from 1980 to 1992. In the comparation between the result of BUS examination and the findings in operation, BUS provided a reliable evidence for the differential diagnosis between the extrahepatic malignant obstructive jaundice and the non-surgical jaundice, and for the findings of the obstructive location.The accurate rate was 99% and 95.3% respectively. BUS was an ideal method for the etiologic diagnosis for the malignant obstructive jaundice with the positive rate 59.4%. The authors thought that BUS examination shold be used as a routine or a first-selected method. |
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| Keywords: | Obstructive jaundice Malignancy Carcinoma of the ampulla Carcinoma of head of the pancreas Carcinoma of bile duct |
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