MRI、MRCP在梗阻性黄疸诊断中的应用价值

To Compare the Effect of MRI and MRCP in the Diagnosis of Obstructive Jaundice

目的观察MRI、MRCP在梗阻性黄疸疾病诊断中的应用,并对比分析两种检查方法的诊断效果。方法选取2015年8月-2018年8月本院接收的90例梗阻性黄疸患者,进行临床研究。分别对90例患者实施MRI检查和MRCP检查,对比分析两组检查方法的阳性、阴性和敏感性等情况。结果 MRI检查组两组检查与MRCP检查在假阴性、假阳性、真阴性等比较无统计意义(P>0.05)。两组检查方式在梗阻性黄疸诊断的真阳性比较有意义(P<0.05)。在梗阻性黄疸的敏感、特异和准确性的比较有意义(P<0.05)。结论 MRI检查和MRCP检查是梗阻性黄疸疾病的常见诊断方式,能够在一定程度上诊断出疾病的阳性情况和阴性情况。而MRCP检查方式在梗阻性黄疸疾病中的效果更高,突出体现为其真阳性率、敏感性、特异性和准确性等均高于MRI诊断方式,可以证实MRCP检查方式在疾病确诊方面具有更高的价值。

Objective To observe the application of MRI and MRCP in the diagnosis of obstructive jaundice, and to compare and analyze the diagnostic results of the two examination methods. Methods A total of 90 patients of obstructive jaundice received in our hospital from August 2015 to August 2018 were selected for clinical study. MRI and MRCP examinations were performed on 90 patients, and the positive, negative and sensitive conditions between the two groups were compared and analyzed. Results There was no statistical significance between the two groups in false negative, false positive and true negative(P>0.05). The two groups were more significant in the diagnosis of obstructive jaundice(P<0.05). The sensitivity, specificity and accuracy of obstructive jaundice were significant(P<0.05). Conclusion MRI and MRCP are common diagnostic methods of obstructive jaundice and can diagnose the positive and negative conditions to some extent. However, the examination method of MRCP is more effective in obstructive jaundice, which is significantly higher than MRI diagnosis in terms of true positive rate,sensitivity, specificity and accuracy, etc. It can prove that MRCP examination method has higher value in diagnosing disease.