ERCP、MRCP、CT、B超对胆总管结石的诊断价值分析  

Analysis of the Diagnostic Value of ERCP,MRCP,CT,B-ultrasound for Choledocholithiasis

作　　者：叶万平 曾安祥[1] 曾德辉[1] 王胜炳[1] YE Wan-ping;ZENG An-xiang;ZENG De-hui;WANG Sheng-bing(Department of Gastroenterology,Meizhou People's Hospital,Meizhou,Guangdong Province,514031 China)

机构地区：[1]梅州市人民医院消化内科,广东梅州514031

出　　处：《中外医疗》2020年第34期187-189,共3页China & Foreign Medical Treatment

摘　　要：目的探究分析在胆总管结石的诊断过程中应用ERCP、MRCP、CT、B超的价值。方法该院消化内科中心2018年1月—2019年12月期间经ERCP明确诊断胆总管结石病例中随机选取120例作为观察对象,其中97例患者接受MRCP诊断检查,105例患者接受CT诊断检查,96例患接受B超诊断检查。以ERCP诊断结果标准,统计MRCP、CT、B超诊断结果 ,分析其诊断正确率。结果接受MRCP诊断检查的97例患者中,诊断结果为胆总管结石的患者有58例,诊断正确率为59.79%;接受CT诊断检查的105例患者中,诊断结果为胆总管结石的患者有69例,诊断正确率为65.71%;接受B超诊断检查的96例患者中,诊断结果为胆总管结石的患者有37例,诊断正确率为38.54%。结论在诊断胆总管结石过程中,应用B超诊断检查具有一定的局限性,可用于筛查胆总管结石,MRCP与CT诊断检查的正确率较高,在临床工作中可灵活进行诊断检查方式的选择。Objective To explore and analyze the value of ERCP,MRCP,CT and B ultrasound in the diagnosis of common bile duct stones.Methods From January 2018 to December 2019 in the Center of Gastroenterology of the hospital,120 cases of choledocholithiasis were diagnosed by ERCP at random.Among them,97 patients received MRCP diagnostic examination and 105 patients received CT diagnostic examination.96 patients received B-ultrasound diagnostic examination.According to the ERCP diagnosis result standard,the MRCP,CT,B-ultrasound diagnosis results were counted,and the diagnosis accuracy rate was analyzed.Results Among the 97 patients who underwent MRCP diagnostic examination,58 patients were diagnosed with choledocholithiasis,with a correct diagnosis rate of 59.79%;among 105 patients who underwent CT diagnostic examination,69 patients with the diagnosis result of choledocholithiasis,the correct diagnosis rate was 65.71%;among 96 patients who underwent B-ultrasound diagnostic examination,37 patients had choledocholithiasis,and the diagnosis correct rate was 38.54%.Conclusion In the process of diagnosing choledocholithiasis,the application of B-ultrasound diagnostic examination has certain limitations.It can be used to screen for choledocholithiasis.MRCP and CT diagnostic examinations have a high accuracy rate,and in clinical work,the choice of diagnostic examination methods can be carried out flexibly.

关 键 词：诊断检查方式 胆总管结石 诊断价值 

分 类 号：R735[医药卫生—肿瘤]