多层螺旋CT联合磁共振胰胆管成像检查在胆道梗阻性疾病鉴别诊断中的效能  

Efficiency of multi-slice spiral CT combined with magnetic resonance cholangiopancreatography in differential diagnosis of biliary obstructive diseases

作　　者：王巧润 WANG Qiaorun(CT Room of Wugang City People’s Hospital,Wugang 462500 Henan,China)

机构地区：[1]舞钢市人民医院CT室,河南舞钢462500

出　　处：《中国民康医学》2024年第12期124-126,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察多层螺旋CT(MSCT)联合磁共振胰胆管成像(MRCP)检查在胆道梗阻性疾病鉴别诊断中的效能。方法:选取2021年3月至2023年4月该院收治的138例胆道梗阻患者进行横断面研究。所有患者均给予MSCT、MRCP检查,以手术或病理活检结果为“金标准”,比较MSCT、MRCP单项及联合检查在胆道梗阻性疾病鉴别诊断中的效能。结果:经手术或病理活检结果显示,138例胆道梗阻患者中恶性55例,其中胰头癌14例,胆管癌34例,十二指肠乳头腺癌7例;良性83例,其中胆管结石79例,胆总管囊肿2例,肝外胆管压迫2例。MRCP检查结果显示,恶性57例,良性81例;MSCT检查结果显示,恶性52例,良性86例;MSCT联合MRCP检查结果显示,恶性66例,良性72例。MRCP联合MSCT检查诊断胆道梗阻性疾病的灵敏度、阴性预测值均高于MSCT、MRCP单项检查,漏诊率低于MSCT、MRCP单项检查,差异有统计学意义(P<0.05)。结论:MSCT联合MRCP检查鉴别诊断胆道梗阻性疾病的效能高于二者单项检查。Objective:To observe efficiency of multi-slice spiral CT(MSCT)combined with magnetic resonance cholangiopancreatography(MRCP)in differential diagnosis of biliary obstructive diseases.Methods:A cross-sectional study was conducted on 138 patients with biliary obstruction admitted to this hospital from March 2021 to April 2023.All patients were given MSCT and MRCP examination.Using the results of surgery or pathological biopsy as the“gold standard”,the efficiencies of single and combined examination of MSCT and MRCP in the differential diagnosis of biliary obstructive diseases were compared.Results:The surgery or pathological biopsy showed that 55 of the 138 patients with biliary obstruction were malignant,including 14 cases of pancreatic head cancer,34 cases of cholangiocarcinoma,and 7 cases of duodenal papillary adenocarcinoma.There were 83 benign cases,including 79 cases of bile duct stones,2 cases of choledochal cyst,and 2 cases of extrahepatic bile duct compression.MRCP examination showed that 57 cases were malignant and 81 cases were benign.MSCT examination showed that 52 cases were malignant and 86 cases were benign.MSCT combined with MRCP showed that 66 cases were malignant and 72 cases were benign.The sensitivity and the negative predictive value of MRCP combined with MSCT in the diagnosis of biliary obstructive diseases were higher than those of MSCT and MRCP,the missed diagnosis rate was lower than that of MSCT and MRCP,and the differences were statistically significant(P<0.05).Conclusions:The efficiency of MSCT combined with MRCP in the differential diagnosis of biliary obstructive diseases is higher than that of the two single examinations.

关 键 词：多层螺旋CT 磁共振胰胆管成像 检查 胆道梗阻性疾病 诊断 效能 

分 类 号：R445[医药卫生—影像医学与核医学]