摘要
目的分析在诊断肝外胆管结石的过程中腹部CT、B超与MRCP(核磁共振胰胆管造影检查)的临床应用效果与价值。方法本次实验研究的对象为肝胆外胆管结石患者65例,其入院时间在2018年1月至2019年1月,所有患者均确诊为肝外胆管结石,每位患者在入院后均给予腹部CT、B超与MRCP检查,对其检查结果进行分析与比较。结果通过实验统计与分析发现,MRCP诊断阳性率明显高于腹部CT与B超检查,数据结果间统计学差异显著(P<0.05);腹部CT诊断阳性率相对于腹部B超来说更高,但是数据结果间无统计学差异(P>0.05)。结论在为肝外胆管结石患者实施临床诊断的过程中,MRCP的临床应用效果与价值显著优于腹部CT与B超,且B超的诊断准确率最低,但是B超的操作简单且价格低廉,具有特殊性质和经济价值,因此,可以将其作为肝外胆管结石诊筛查的一种初步手段,出现可疑患者还需结合MRCP确诊。
Objective To analyze the clinical application effect and value of abdominal CT,B ultrasound and MRCP(nuclear magnetic resonance cholangiopancreatography)in the diagnosis of extrahepatic bile duct stones.Methods 65 patients with extrahepatic bile duct stones were studied in this experiment.Their admission time was from January 2018 to January 2019.All patients were diagnosed as extrahepatic bile duct stones.After admission,each patient was examined by abdominal CT,B-ultrasound and MRCP,and the examination results were analyzed and compared.Results Through experimental statistics and analysis,it was found that the positive rate of MRCP diagnosis was significantly higher than that of abdominal CT and B ultrasound examination,and the statistical difference between the data results was significant(P<0.05).The positive rate of abdominal CT diagnosis is higher than that of abdominal B ultrasound,but there is no statistical difference between the data results(P>0.05).Conclusion In the process of clinical diagnosis for patients with extrahepatic bile duct stones,the clinical application effect and value of MRCP are significantly better than those of abdominal CT and B-ultrasound,and the diagnostic accuracy of B-ultrasound is the lowest.However,B-ultrasound is simple to operate,low in price,and has special properties and economic value.Therefore,it can be used as a preliminary means of diagnosis and screening for extrahepatic bile duct stones,and the suspicious patients should be diagnosed with MRCP.
作者
武建平
WU Jian-ping(First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014010,China)
出处
《中国医药指南》
2020年第14期79-80,共2页
Guide of China Medicine
关键词
腹部CT
B超
MRCP
肝外胆管结石
Abdominal CT
B ultrasound
MRCP
Extrahepatic bile duct stones
