Endoscopic ultrasonography versus intraoperative cholangiography in the detection of suspected common bile duct stones
10.3760/cma.j.issn.1007-8118.2015.11.010
- VernacularTitle:超声内镜与术中胆道造影对可疑胆总管结石的诊断比较
- Author:
Xin ZHU
;
Jianhui YANG
;
Baochun LU
;
Xuezheng SUN
- Publication Type:Journal Article
- Keywords:
Common bile duct stones;
Endoscopic ultrasonography;
Intraoperative cholangiography;
Diagnosis
- From:
Chinese Journal of Hepatobiliary Surgery
2015;21(11):755-757
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the diagnostic value of endoscopic ultrasonography (EUS) versus intraoperative cholangiography (IOC) for suspected common bile duct stones (CBDS).Methods 324 patients with suspected CBDS who were admitted to the Hepatobiliary Pancreatic Surgery Department of Shaoxing People's Hospital between June 2010 and June 2014 were retrospectively studied.Either EUS or IOC was used and the diagnostic value of these two imaging modalities was compared.Results The sensitivity, specificity, positive predictive value and negative predictive value of IOC in diagnosing suspected CBDS were 90.6％, 98.4％, 9.5％ and 97.7％ respectively.Its consistency rate was 96.9％.The sensitivity, specificity, positive predictive value and negative predictive value of EUS in diagnosing suspected CBDS were 97.1％, 100％, 100％ and 99.1％ respectively.Its consistency rate was 99.3％.Conclusions In diagnosing suspected CBDS, the sensitivity, specificity, positive predictive value and negative predictive value of EUS were significantly higher than IOC.When compared with IOC, EUS was more sensitive to detect occult CBDS and avoided unnecessary ERCP or bile duct exploration.Patients with negative EUS were less likely to have retained CBDS.
