DIAGNOSTIC-ACCURACY OF ULTRASOUND IN ACUTE CHOLECYSTITIS
DIAGNOSTIC-ACCURACY OF ULTRASOUND IN ACUTE CHOLECYSTITIS
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DOI：
10.1007/bf02035103
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发表时间：
1986-10-01
期刊：
影响因子：
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通讯作者：
MARTIN, J
中科院分区：
文献类型：
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作者：
MARTINEZ, A;BONA, X;MARTIN, J
本研究试图评估急诊科98例临床疑似急性胆囊炎患者超声诊断的准确性，这些患者至少符合6项相关标准中的3项。胆囊横向或前后轴扩张至5 cm或以上（标准1）存在于64例患者中;胆囊壁增厚至少5 mm（标准2）95例;胆石症（标准3）86例;胆囊壁内声发射晕超声心动图诊断胆囊周围回声带（标准4）40例，超声心动图诊断胆囊周围回声带（标准5）27例，超声心动图诊断胆囊腔内回声肿块伴无后方声影（标准6）35例。经机会校正的诊断准确性指数在统计学和临床上更相关，3作为超声诊断急性胆囊炎的最低标准。
This work attempts to assess the diagnostic accuracy of ultrasound for acute cholecystitis in 98 clinically suspected patients from the emergency unit in whom at least 3 of 6 relevant criteria are present. Gallbladder distention to 5 cm or more transversely or in the anterior-posterior axis (criterion 1) was present in 64 patients; thickening of the gallbladder wall of at least 5 mm (criterion 2) in 95; cholelithiasis (criterion 3) in 86; sonolucent halo in the gallbladder wall (criterion 4) in 40; sonolucent fluid band surrouding the gallbladder (criterion 5) in 27; and intraluminal echogenic mass with no posterior acoustic shadow (criterion 6) in 35. A diagnostic accuracy index, corrected for chance, was statistically and clinically more relevant with 3 as the minimum number of criteria for the ultrasonic diagnosis of acute cholecystitis.