CT联合MRI检查对肝脏病变的定性诊断价值分析

Clinical value of CT combined with MRI in qualitative diagnosis of liver lesions

目的探讨CT联合MRI检查对肝脏病变的定性诊断价值.方法选取2015年8月至2018年3月舟山医院收治的肝脏病变患者100例,对患者分别进行CT、MRI以及两者联合检查,比较分析三种不同方式对肝脏疾病的诊断结果.结果通过CT检查检出96处病灶,检出率为88.89%;通过MRI检查检出97处病灶,检出率为89.81%;通过CT与MRI两者联合扫描共检出105处病灶,检出率为97.22%两者联合检查检出率和检出病灶数明显高于单一检出率,差异均有统计学意义(X^2=8.25、6.22,均P<0.05),但CT和MRI检出率与病灶数差异均无统计学意义(均P>0.05)。结论通过CT与MRI联合对肝脏病变位置进行检查,对良恶性病灶诊断均有着很好的诊断效果、副作用相对较少、安全系数高,值得在临床诊断中广泛使用。

Objective To evaluate the clinical value of CT combined with MRI in the qualitative diagnosis of hepatic lesions.Methods From August 2015 to March 2018,100 patients with liver diseases were selected from Zhoushan Hospital.CT,MRI and combined examination were performed respectively.The results of diagnosis of liver diseases in three different ways were compared and analyzed.Results A total of 96 lesions were detected by CT,the detectable rate was 88.89%,97 lesions were detected by MRI,and the detectable rate was 89.81%.A total of 105 lesions were detected by CT and MRI,and the detectable rate was 97.22%.The detection rate and number of detected lesions of combined test were significantly higher than those of single test(X^2=8.25,6.22,all P<0.05),but there were no statistically significant nt differences in the detection rate and the number of lesi ons between CT and MRI(all P>0.05).Conclusion The diagnosis of benign and malignant lesions by the combination of CT and MRI is very good.The diagnostic effect is relatively small and the safety factor is high.It is worth widely used in clinical diagnosis of patients.