腹部CT与磁共振胰胆管成像在肝胆外结石临床诊断中的应用效果  

Clinical Diagnostic Efficacy Research of Abdominal CT and Magnetic Resonance Cholangiopancreatography for Patients with Extrahepatic and Biliary Stones

作　　者：朱守平 ZHU Shouping(Radiology Department,Liping County People's Hospital,Qiandongnan,Guizhou,557300)

机构地区：[1]贵州省黎平县人民医院放射科,贵州黔东南557300

出　　处：《智慧健康》2024年第24期1-3,共3页Smart Healthcare

摘　　要：目的研究采用腹部CT与磁共振胰胆管成像(MRCP)进行肝胆外结石诊断的临床效果。方法以2022年6月—2023年6月贵州省黎平县人民医院放射科收治的经病理检查确诊为肝胆外结石的患者71例为研究对象,分别对患者开展腹部CT与MRCP检查,针对两种方法的检出率与诊断效能进行对比。结果MRCP阳性检出率高于经腹部CT检查(P<0.05);MRCP不同结石分型、不同直径检出符合率均高于腹部CT(P<0.05);MRCP诊断灵敏度、特异度以及准确度均高于腹部CT(P<0.05)结论与腹部CT相比,MRCP用于肝胆外结石的诊断效能更优,误诊或漏诊风险更低,值得推广。Objective To study clinical effect of abdominal CT and magnetic resonance cholangiopancreatography(MRCP)in diagnosis of extrahepatic and biliary stones.Methods The paper chose 71 cases diagnosed extrahepatic and biliary stones with pathological examination in Radiology Department of Liping County People's Hospital from June 2022 to June 2023,treated with abdominal CT and MRCP examinations,detection results and diagnostic efficacy between two methods were compared.Results Statistical results showed positive rate of MRCP detection was higher than abdominal CT examination,with significant difference(P<0.05).Accuracy of MRCP in detecting different types and diameters of stones was higher than abdominal CT,with significant difference(P<0.05).Diagnostic sensitivity,specificity and accuracy of MRCP were higher than abdominal CT,with significant difference(P<0.05).Conclusion MRCP can achieve better diagnostic efficacy for extrahepatic and biliary stones than abdominal CT,with lower risk of misdiagnosis or missed diagnosis,which is worthy of promotion.

关 键 词：腹部CT MRCP 肝胆外结石 诊断效能 

分 类 号：R445.2[医药卫生—影像医学与核医学] R575[医药卫生—诊断学] R816.5[医药卫生—临床医学]