64层螺旋CT3D成像技术在胆道梗阻性疾病病变的检出率、准确率及鉴别诊断的价值

Investigation of the clinical application value of the detection rate, accuracy rate and improvement of differential diagnosis of 64-slice spiral CT3D imaging technology in biliary tract obstructive diseases

目的探析64层螺旋CT3D成像技术在胆道梗阻性疾病病变的检出率、准确率及提高鉴别诊断的临床应用价值。方法选取2018年3月~2019年3月我院160例胆道梗阻性疾病患者,对患者行64层螺旋CT3D成像技术和磁共振胆胰管水成像技术诊断,比较两种诊断方法检出率和定位准确率,分析诊断价值。结果磁共振胆胰管水成像诊断良性病变诊断率为77.8%,恶性病变诊断率为73.1%,64排螺旋CT胆道成像诊断良性病变诊断率为92.6%,恶性病变诊断率为88.5%,与磁共振胆胰管水成像诊断比较,64排螺旋CT胆道成像诊断定位准确率更高(P <0.05)。结论 64层螺旋CT3D成像技术对病变部位及胆道占位性病变显像,可为疾病治疗提供更准确理论资料,有利于患者临床症状改善和治疗有效率提升。

Objective To explore the clinical application value of 64-slice spiral CT3 D imaging technology in the detection rate and accuracy of biliary obstructive diseases and to improve the differential diagnosis. Methods 160 patients with biliary obstructive diseases in our hospital from March 2018 to March 2019 were selected, and the patients were diagnosed with 64-slice spiral CT3 D imaging technology and magnetic resonance cholangiopancreatic hydrography, and the two diagnostic methods were compared. Detection rate and positioning accuracy rate, analysis and diagnosis value. Results The diagnosis rate of MR cholangiopancreatography was 77.8% for benign lesions and 73.1% for malignant lesions. The diagnosis rate for 64-slice spiral CT cholangiography was 92.6% for benign lesions and 88.5% for malignant lesions. Compared with the diagnosis of resonance cholangiopancreatography, 64-slice spiral CT biliary imaging has a higher diagnostic positioning accuracy(P < 0.05). Conclusion The 64-slice spiral CT3 D imaging technology can visualize the lesions and biliary space-occupying lesions, and can provide more accurate theoretical data for disease treatment, which is beneficial to the improvement of patients’ clinical symptoms and the improvement of treatment efficiency.