MSCT、MRI结合MRCP在诊断胆道梗阻性疾病中的应用比较
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摘要
目的:比较多层螺旋CT(MSCT)与MRI结合磁共振胰胆管造影术(MRCP)在胆道梗阻性疾病中的诊断价值。方法:临床纳入2014.01～2019.01于我院经过手术病理证实的102例胆道梗阻性疾病患者,所有患者先接受MSCT检查,后接受MRI与MRCP联合检查,与病理结果相比较,对两种检查方式的诊断结果进行观察。结果:MSCT的定位准确率是87.25%明显低于MRI结合MRCP的96.08%,MSCT对良性病变的诊断准确率是86.54%明显低于MRI结合MRCP的96.15%,MSCT对恶性病变的诊断准确率是88.00%明显低于于MRI结合MRCP的96.00%,差异对比有意义,P<0.05。结论:在胆道梗阻性疾病的临床诊断中应用MRI结合MRCP的检查方式诊断准确率明显高于MSCT,能为临床医师制定下一步治疗计划提供有效的参考依据,值得推广。
Objective:To compare the diagnostic value of multi-slice spiral CT(MSCT) and magnetic resonance cholangiopancreatography(MRCP) in biliary obstructive diseases.Methods:102 patients with biliary obstructive diseases confirmed by surgery and pathology in our hospital from January 2014 to January 2019 were enrolled in this study. All patients were examined by MSCT first, then by combined examination of MRI and MRCP. The results of the two examinations were compared with the pathological results, and the diagnostic results of the two examinations were observed.Results:The localization accuracy of MSCT was 87.25% lower than that of MRI combined with MRCP, 96.08%, 86.54% for benign lesions, 96.15% lower than that of MRI combined with MRCP, 88.00% for malignant lesions and 96.00% lower than that of MRI combined with MRCP. The difference was significant(P < 0.05).Conclusion:In the clinical diagnosis of biliary obstructive diseases, the diagnostic accuracy of MRI combined with MRCP is significantly higher than that of MSCT, which can provide an effective reference for clinicians to formulate the next treatment plan and is worthy of promotion.
Objective:To compare the diagnostic value of multi-slice spiral CT(MSCT) and magnetic resonance cholangiopancreatography(MRCP) in biliary obstructive diseases.Methods:102 patients with biliary obstructive diseases confirmed by surgery and pathology in our hospital from January 2014 to January 2019 were enrolled in this study. All patients were examined by MSCT first, then by combined examination of MRI and MRCP. The results of the two examinations were compared with the pathological results, and the diagnostic results of the two examinations were observed.Results:The localization accuracy of MSCT was 87.25% lower than that of MRI combined with MRCP, 96.08%, 86.54% for benign lesions, 96.15% lower than that of MRI combined with MRCP, 88.00% for malignant lesions and 96.00% lower than that of MRI combined with MRCP. The difference was significant(P < 0.05).Conclusion:In the clinical diagnosis of biliary obstructive diseases, the diagnostic accuracy of MRI combined with MRCP is significantly higher than that of MSCT, which can provide an effective reference for clinicians to formulate the next treatment plan and is worthy of promotion.
引文
1 周文珍,顾建平,殷信道等.MSCT、MRCP、MRI结合MRCP在诊断胆道梗阻性疾病中的应用比较[J].中国医疗设备,2015,30(1):43-46.
2 张立国,刘青光,陈士新等.MRCP 联合 CT 或 MRI 增强扫描诊断梗阻性黄疸的价值[J].实用放射学杂志,2015,10(9):1475-1478.
3 王瑞昕.CT和MRCP结合MRI对胆道梗阻性疾病诊断的临床价值[J].甘肃医药,2018,37(7):616-617.
4 阮守宇,朱向会,路曹等.2D、3D MRCP及横断、冠状T2WI联合应用对低位胆道梗阻的诊断价值[J].西南国防医药,2015,13(6):633-635.
5 许韶远.多层螺旋CT和低场MRCP技术诊断胆道梗阻性疾病的效果分析[J].现代医用影像学,2018,27(2):432-434.
6 张继军,苏明,邱晓丽等.64层螺旋CT、MRI及MRCP对低位胆道梗阻性疾病的诊断价值[J].新疆医学,2014,44(9):33-36.
2 张立国,刘青光,陈士新等.MRCP 联合 CT 或 MRI 增强扫描诊断梗阻性黄疸的价值[J].实用放射学杂志,2015,10(9):1475-1478.
3 王瑞昕.CT和MRCP结合MRI对胆道梗阻性疾病诊断的临床价值[J].甘肃医药,2018,37(7):616-617.
4 阮守宇,朱向会,路曹等.2D、3D MRCP及横断、冠状T2WI联合应用对低位胆道梗阻的诊断价值[J].西南国防医药,2015,13(6):633-635.
5 许韶远.多层螺旋CT和低场MRCP技术诊断胆道梗阻性疾病的效果分析[J].现代医用影像学,2018,27(2):432-434.
6 张继军,苏明,邱晓丽等.64层螺旋CT、MRI及MRCP对低位胆道梗阻性疾病的诊断价值[J].新疆医学,2014,44(9):33-36.