梗阻性黄疸实施64排螺旋CT诊断分析

Analysis of 64 Row Spiral CT Diagnosis of Obstructive Jaundice

目的对梗阻性黄疸实施64排螺旋CT诊断的应用价值进行分析和探讨。方法选择2012年10月—2014年10月在该院进行治疗的梗阻性黄疸患者80例,对其临床资料进行回顾性分析,患者均行64排螺旋CT扫描和增强扫描,并将扫描结果进行CPR和MPR处理,评价患者的胆管梗阻定位以及定性诊断结果,并将其与手术病理诊断和ERCP结果进行比较。结果 80例梗阻性黄疽患者的CT诊断均符合手术病理诊断和ERCP结果;其中有47例患者为良性病变,45例患者为正确诊断;33例患者为恶性病变,30例患者为正确诊断。64排螺旋CT对梗阻性黄疸的定位为100%(90/90),定性准确率为93.8%(75/80)。结论 64排螺旋CT的处理功能非常强大,能够对梗阻性黄疸进行准确的定位,且定性准确率高,是一种无创且有效的检查方法。

Objective To analyze and discuss the value of 64 row spiral CT diagnosis of obstructive jaundice.Methods 80 patients with obstructive jaundice in our hospital from October 2012 to October 2014 were selected,the clinical data were retrospectively analyzed,the patients were all underwent 64 slice spiral CT scan and enhanced scan,and the scanning results for CPR and MPR treatment, evaluated of patients with bile duct obstruction localization and qualitative diagnosis results, and compared with operation and pathology and ERCP results.Results CT diagnosis of 80 patients with obstructive jaundice were in accord with operation pathology diagnosis and ERCP results;47 cases of patients were benign lesions, 45 patients were diagnosed correctly. 33 cases of patients were malignant lesions, 30 patients were diagnosed correctly; Position the 64 slice spiral CT in obstructive jaundice was 100%（90/90）, the accuracy rate of qualitative diagnosis was 93.8% （75/80）.Conclusion Processing functions of 64 slice spiral CT is very advanced, can carry on the accurate localization of obstructive jaundice, and qualitative accuracy rate is high, it is a noninvasive and effective method of examination.