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作 者:王善阳 高彦妍 唐坚 WANG Shanyang;GAO Yanyan;TANG Jian(Department of Radiology,Xinghua Third People's Hospital,Xinghua 225700,Jiangsu,China)
机构地区:[1]江苏省兴化市第三人民医院放射科,江苏兴化225700
出 处:《世界复合医学》2024年第5期157-159,163,共4页World Journal of Complex Medicine
摘 要:目的 研究1.5T磁共振胰胆管成像(magnetic resonance cholangiopancreatography,MRCP)诊断胆囊结石并肝外胆总管结石的价值。方法 选取2021年1月—2023年12月江苏省兴化市第三人民医院收治的66例疑似胆囊结石并肝外胆总管结石患者为研究对象,所有患者均接受CT及1.5T MRCP检查。以手术结果为金标准,比较不同检查方式的诊断价值及不同直径结石检出率。结果1.5T MRCP灵敏度为89.47%(51/57)、准确度为87.88%(58/66),均高于CT检查[73.68%(42/57)、71.21%(47/66)],差异有统计学意义(χ^(2)=4.728、5.634,P均<0.05),两种检查方法的特异度比较,差异无统计学意义(P>0.05)。1.5T MRCP诊断结石直径<0.8 cm的符合率高于CT检查,差异有统计学意义(P<0.05)。结论 1.5T MRCP诊断胆囊结石并肝外胆总管结石的效果确切,可有效提高诊断准确度。Objective To study the value of 1.5T magnetic resonance cholangiopancreatography(MRCP) in the diagnosis of gallbladder stones with extrahepatic common bile duct stones.Methods A total of 66 patients with suspected gallbladder stones with extrahepatic common bile duct stones admitted to Xinghua Third People's Hospital from January 2021 to December 2023 were selected as the study objects,and all of them underwent diagnosis by CT and 1.5T MRCP examination.The diagnostic value of the different modalities and the detection rate of stones of different diameters were compared with the surgical results as the gold standard.Results The sensitivity of 1.5T MRCP was 89.47%(51/57) and the accuracy was 87.88%(58/66),which were higher than those of CT examination [73.68%(42/57),71.21%(47/66) ],and the differences were statistically significant(χ^(2)=4.728,5.634,both P<0.05),The differences in the specificity of the two examination methods were not statistically significant(P>0.05).The compliance rate of 1.5T MRCP for diagnosing stones with a diameter of <0.8 cm was higher than that of CT examination,and the difference was statistically significant(P<0.05).Conclusion 1.5T MRCP is effective in diagnosing gallbladder stones with extrahepatic common bile duct stones,and effectively improves the diagnostic accuracy.
关 键 词:1.5T磁共振胰胆管成像 电子计算机断层摄影 胆囊结石 肝外胆总管结石 诊断价值
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