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MRCP诊治胆囊结石合并正常范围直径胆总管结石中的应用价值及有效性分析 被引量:17

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摘要 目的探究磁共振胆胰管造影(MRCP)在诊治胆结石合并正常范围直径胆总管结石中的应用价值以及有效性。方法疑似胆结石合并正常范围直径胆总管结石的病人317例,所有病人均以手术后的符合率为判定标准。并采用MRCP辅助诊断胆结石合并正常范围直径胆总管结石。结果术前MRCP阳性103例,阴性214例;腹腔镜胆囊切除术中胆道造影(intraoperative cholangiography,LC-IOC)阳性107例,阴性210例,MRCP与LC-IOC诊断结果比较,差异无统计学意义(P=0.736);与LC-IOC比较,MRCP诊断胆结石合并正常范围直径胆总管结石的敏感度、特异性、准确度分别为96.8%、83.3%、96.0%;AUC(MRCP)=0.824(95%CI:0.652~0.887),ROC曲线远离机会线,表明MRCP具有较高的诊断价值。结论 MRCP可以在手术前准确、无创地诊断胆囊结石病人是否合并正常范围胆总管结石,从而避免病人并发症的发生。
出处 《临床外科杂志》 2019年第3期250-252,共3页 Journal of Clinical Surgery
基金 南平市科技计划项目[N2011Z15(15)]
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