摘要
目的:探讨320排螺旋CT、MRI及MRCP对胆道梗阻性疾病的价值对比。方法:分析我院2015年3月到2019年5月75位胆道梗阻病例的CT、MRI及MRCP表现,对胆道梗阻病变的定位和定性诊断与手术病理结果对照。结果:在定位诊断方面,CT、MRI,MRCP定位诊断无明显差异,均达到100%;在定性诊断符合率分别为CT为81.5%,MRI为84.2%,MRCP为77.3%,MRI+MRCP为90.4%,CT+MRI+MRCP为93.5%。结论:联合应用CT、MRI、MRCP对胆道梗阻疾病定性诊断准确性显著提高。
Objective To compare the value of 320-slice spiral CT, MRI and MRCP in biliary obstructive diseases.Methods Analysis of CT,MRI and MRCP findings of 75 cases of biliary obstruction from March 2015 to May 2019 in our hospital,The location and qualitative diagnosis of biliary obstruction and surgical pathology.Results In the location diagnosis,there is no significant difference in CT,MRI,and MRCP,all reaching 100%.The coincidence rate in qualitative diagnosis was 81.5% for CT,84.2% for MRI,77.3% for MRCP, 90.4% for MRI+MRCP, and 93.5%for CT+MRI+MRCP.Conclusion Combined application of CT,MRI and MRCP for the qualitative diagnosis of biliary obstructive diseases.
引文
[1]方华盛.磁共振胰胆管成像对恶性胆道梗阻的患者诊断价值[J].中国药物经济学,2015.10(1):73-74.
[2]柏国宏.多层螺旋CT多平面重组技术在胆道梗阻性疾病中的诊断价值[J].中国医药指南,2015.13(15):18-19.
[3]郭启勇.中华临床医学影像学消化分册[M].第1版,北京:北京大学医学出版社,2015.10:506.
[4]胡剑峰,申爱强,丁洪彬.MRI多序列结合MRCP对肝内胆管结石并胆道梗阻的诊断价值[J].中国CT和MRI杂志,2016,14(12):83-84.
[5]韩萍,于春水.医学影像诊断学[M].第4版北京人民卫生出版社,2017.424.
[6]钱丽,张宝林.MRCP检查胆道梗阻病变的临床分析[J].医学影像学杂志,2013,23(4):634-635.