摘要
目的:探讨磁共振胆胰管成像(MRCP)与腹部计算机体层成像(CT)在肝外胆结石检查中的应用价值。方法:以2021年1月~2022年12月为基础开展数据分析研究工作,观察时段内入院检查的70例疑似肝外胆结石患者为观察对象,全部患者均接受MRCP、腹部CT检查以及手术病理检查,对不同方法的疾病诊断结果及准确性进行比较分析。结果:以手术病理检查结果为参考依据,MRCP检查与手术病理检查结果的符合率更高,诊断结果准确性更高;MRCP检查的疾病诊断灵敏度、阳性预测值、阴性预测值、诊断符合率均高于腹部CT检查,差异有统计学意义(P<0.05),但不同检查技术的结果特异度对比,差异无统计学意义(P>0.05);MRCP检查对疾病类型分析的准确性高于腹部CT检查,差异有统计学意义(P<0.05);MRCP检查对不同体积结石的鉴别诊断准确性均高于腹部CT检查,差异有统计学意义(P<0.05)。结论:在肝外胆结石疾病筛查与诊治中,MRCP技术的准确性更高,有利于疾病类型与结石体积的鉴别分析。
Objective:To explore the application value of magnetic resonance cholangiopancreatography(MRCP)and abdominal CT in the examination of extrahepatic gallstones.Methods:This study conducted data analysis and research based on the period from January 2021 to December 2022.During the observation period,70 suspected patients with extrahepatic gallstones who were admitted for examination were observed.All patients underwent MRCP,abdominal CT examination,and surgical pathology examination.The diagnostic results and accuracy of different methods were compared and analyzed.Results:Based on the results of surgical pathological examination,the coincidence rate between MRCP examination and surgical pathological examination was higher,and the diagnostic accuracy was higher;The diagnostic sensitivity,positive predictive value,negative predictive value,and diagnostic accuracy of MRCP examination were higher than those of abdominal CT examination,and the differences met statistical standards(P<0.05).However,the differences in the specificity of results between different examination techniques did not meet statistical standards(P>0.05);The accuracy of MRCP examination in disease type analysis was higher than that of abdominal CT examination,and the difference meets statistical standards(P<0.05);The differential diagnostic accuracy of MRCP examination for stones of different volumes was higher than that of abdominal CT examination,and the difference was statistically significant(P<0.05).Conclusion:In the screening and diagnosis and treatment of extrahepatic gallstone diseases,magnetic resonance cholangiopancreatography technology has higher accuracy,which is conducive to the differential analysis of disease types and stone volume.
作者
林聪安
徐永平
LIN Cong-an;XU Yong-ping(Medical Imaging Department,Zhangzhou Second Hospital,Fujian Zhangzhou 363100)
出处
《中国医疗器械信息》
2024年第19期93-95,165,共4页
China Medical Device Information
关键词
磁共振胆胰管成像
腹部计算机体层成像
肝外胆结石
诊断效能
magnetic resonance cholangiopancreatography
abdominal CT
extrahepatic gallstones
diagnostic effectiveness
