梗阻性黄疸患者64排螺旋CT胆道成像诊断的临床价值分析

Clinical Value Analysis of the Diagnosis of Spiral CT Cholangiography in Patients with Obstructive Jaundice

目的:分析梗阻性黄疸患者64排螺旋CT胆道成像诊断的临床价值。方法:统计分析2013年9月-2016年9月间经本院确诊为梗阻性黄疸患者77例临床资料,分别采用64排螺旋CT胆道成像诊断(A组)、MRI联合MRCP(磁共振胆胰管水成像)诊断(B组),比较两种诊断手段的梗阻性黄疸检出率。结果:A组诊断中,良性病变检出率为95.24%、恶性病变检出率为91.43%;B组诊断中,良性病变检出率为78.57%、恶性病变检出率为57.14%。即A组诊断方法的检出率均高于B组,统计学数据差异显著(P<0.05)。结论:64排螺旋CT胆道成像诊断梗阻性黄疸病症时,检出率相对较高,故具有研究价值。

Objective： To analyze the obstructive jaundice patients with 64 slice spiral CT imaging in the diagnosis of biliary tract clinical value. Methods： Statistical analysis of the hospital diagnosed with the clinical data of 77 patients with obstructive jaundice from September 2013 to September 2016,respectively with 64 slice spiral CT imaging in the diagnosis of biliary tract（group A）, MRI combined with MRCP（magnetic resonance imaging diagnosis of bile duct water）（group B）, the detection rate of two kinds of means in the diagnosis of obstructive jaundice. Results： In group A in the diagnosis of benign lesions, the detection rate was 95.24%, malignant lesion detection rate was 91.43%; group B in the diagnosis of benign lesions, the detection rate was 78.57%, the detection rate of malignant lesions detected 57.14%. Group A diagnosis method was higher than group B, statistical data showed significant difference（P 〈0.05）. Conclusion： 64 slice spirals CT imaging in the diagnosis of biliary obstructive jaundice disease, the detection rate is relatively high, so it has research value.