CT、MRCP、ERCP检查对胆胰系肿瘤诊断价值的对比研究

Evaluation of CT,MRCP and ERCP in the diagnosis of pancreasticobiliary tumour

目的探讨CT、MRCP、ERCP检查诊断胆胰系肿瘤的临床价值。方法对经手术及病理证实的58例胆胰系肿瘤的CT、MRCP、ERCP检查回顾性对比分析,讨论其检查方法的优点和局限性。结果CT检出率为80%、定性诊断率72%,MRCP检出率为84%、定性诊断率为76%,ERCP检出率为92%、定性诊断率为88%。3项检查的定位诊断率及定性诊断率均无显著性差异(P>0.05)。结论CT、MRCP、ERCP检查对胆胰系肿瘤均有较好的诊断价值,但在肿瘤定性方面CT、MRCP尚不能取代ERCP。

Objective To evaluate CT,MRCP and ERCP in the diagnosis of pancreasticobiliary tumour. Methods In 58 patients with pancreasticobiliary tumour proved by operation and patholog which preoperative examination of CT,MRCP and ERCP were reviewed and analysed. The excellence and localization of them were discussed. Results The correct diagnostic rates of each imaging modality finding position and causes of obstruction,CT were 80% and 72% ,MRCP were 84% and 76% ,ERCP were 92% and 88% respectively. The differences among them were not singnificant with the method of statistics （P〉 0.05）. Conclusion Although CT ,MRCP arid ERCP are all good method diagnosis of pancreasticobiliary tumour,CT and MRCP can not take place of ERCP in qualitative diagnosis of obstructive causes.