3D磁共振胰胆管水成像对胰胆管疾病胰管解剖部位显示率的影响  

Effect of 3D-Magnetic Resonance Cholangiopancreatography on the Display Rate of Pancreatic Duct Anatomy in Pancreaticobiliary Disease

作　　者：郭赞央 王颖 张林 GUO Zanyang;WANG Ying;ZHANG Lin(Magnetic Resonance Room,Dengfeng Hospital of Traditional Chinese Medicine,Zhengzhou 452470,China;Radiology Department,Dengfeng Hospital of Traditional Chinese Medicine,Zhengzhou 452470,China;Magnetic Resonance Department,Sanmenxia Central Hospital,Sanmenxia 472000,China)

机构地区：[1]登封市中医院磁共振室,河南郑州452470 [2]登封市中医院放射科,河南郑州452470 [3]三门峡市中心医院磁共振室,河南三门峡472000

出　　处：《河南医学研究》2022年第12期2245-2248,共4页Henan Medical Research

摘　　要：目的探讨3D磁共振胰胆管水成像(3D-MRCP)检查对胰胆管疾病胰管解剖部位显示率的影响。方法选取2018年8月至2021年10月于登封市中医院就诊的86例疑似胰胆管疾病的患者为研究对象。所有患者均接受多层螺旋CT检查及3D-MRCP检查。将手术的病理检查结果设为“金标准”,比较多层螺旋CT和3D-MRCP检查诊断结果、诊断效能及对不同解剖部位的诊断显示率,并分析不同类型胰胆管疾病的3D-MRCP成像情况。结果手术病理检查结果显示,86例疑似胰胆管疾病患者中,阳性62例,阴性24例。多层螺旋CT结果显示阳性52例。3D-MRCP结果显示阳性61例。与多层螺旋CT相比,3D-MRCP诊断胰胆管疾病的灵敏度(87.10%)、准确率(82.56%)均较高,漏诊率(12.90%)较低(P<0.05)。与多层螺旋CT相比,3D-MRCP对肝内胆管部位的显示率较高(P<0.05)。结论采用3D-MRCP可提高胰胆管疾病的诊断效能及解剖部位显示率,对胰胆管疾病的临床筛查、诊断、制定治疗方案具有重要意义。Objective To investigate the effect of 3D magnetic resonance cholangiopancreatography(3D-MRCP)on the display rate of pancreatic duct anatomy in pancreaticobiliary disease.Methods A total of 86 patients with suspected pancreatic and bile duct disease who were admitted to Dengfeng Hospital of Traditional Chinese Medicine from August 2018 to October 2021 were selected.All patients were examined by multi-slice spiral CT and 3D-MRCP.The results of surgical and pathological examination were used as the“gold standard”.The diagnostic results,diagnostic efficiency and diagnostic display rate of different anatomical parts were compared between multi-slice spiral CT and 3D-MRCP,and 3D-MRCP imaging of different types of pancreaticobiliary diseases was analyzed.Results The results of surgical and pathological examination showed that among the 86 patients with suspected pancreaticobiliary disease,62 patients were positive and 24 patients were negative.Multi-slice spiral CT showed positive results in 52 cases.Compared with multi-slice spiral CT,3D-MRCP has higher sensitivity(87.10%),higher accuracy(82.56%)and lower missed diagnosis rate(12.90%)(P<0.05).Compared with multi-slice spiral CT,3D-MRCP had a higher display rate of intrahepatic bile duct(P<0.05).Conclusion The use of 3D-MRCP examination can significantly improve the diagnostic efficiency of pancreaticobiliary duct diseases and the display rate of anatomical sites,which is of great significance for clinical screening,diagnosis and formulation of treatment plans for pancreaticobiliary disease.

关 键 词：胰胆管疾病 3D磁共振胰胆管水成像 多层螺旋CT 显示率 胰管解剖部位 

分 类 号：R445.2[医药卫生—影像医学与核医学]