胰胆管水成像及多层旋螺CT在胆管疾病中的诊断价值比较

Comparison of diagnostic value of magnetic resonance cholangiopancreatography and multi-slice spiral CT in biliary obstructive diseases

目的探讨磁共振胰胆管水成像(MRCP)及多层旋螺CT扫描(MSCT)在胆管疾病中的诊断价值比较。方法选取2017年2月~2018年9月我院收治的68例黄疸患者作为研究对象,患者均通过MRCP、MSCT扫描。以术后病理检查作为诊断标准,比较MSCT、MRCP及MSCT+MRCP诊断准确率。结果本研究68例患者,以病理结果作为诊断金标准,其中MSCT、MRCP及MSCT+MRCP,诊断准确率分别为77.94%、83.82%、95.59%,MSCT+MRCP诊断准确率高于MSCT扫描、MRCP,差异有统计学意义(P<0.05);但MSCT与MRCP准确率比较,差异无统计学意义(P>0.05)。结论MRCP及MSCT在胆管疾病有较高的诊断率,但MRCP技术更安全快捷,是一种非创伤性检查方法,容易被患者接受,有利于改善胆管疾病患者预后。

Objective To compare the diagnostic value of magnetic resonance cholangiopancreatography(MRCP)and multi-slice spiral CT(MSCT)in biliary obstructive diseases.Methods A total of 68 patients with obstructive jaundice admitted to our hospital from February 2017 to September 2018 were enrolled.All patients underwent MRCP and MSCT scan.The diagnostic accuracy of MSCT scan,MRCP and MSCT scan+MRCP was compared.Results In this study,68 patients were diagnosed with pathological results,including MSCT scan,MRCP and MSCT scan+MRCP.The diagnostic accuracy was 77.94%and 83.82,95.59%respectively.The diagnostic accuracy of MSCT scan+MRCP was higher than that of MSCT scan and MRCP.The difference was statistically significant(P<0.05).The difference of accuracy of MSCT scan and MRCP was not statistically significant(P>0.05).Conclusion MRCP and MSCT have a high diagnostic rate in biliary obstructive diseases,but MRCP is safer and faster.It is a non-invasive method.Accepted by patients,it is beneficial to improve the prognosis of patients with biliary obstruction.