2D MRCP与3D MRCP技术诊断胆胰疾病的临床价值探讨

Discussion on the clinical effects of 2D MRCP and 3D MRCP techniques for the diagnosis of biliary and pancreatic diseases

目的探讨2D磁共振胰胆管成像(MRCP)与3D MRCP技术在胆胰疾病中的诊断价值。方法80例胆胰疾病患者,均进行2D MRCP及3D MRCP诊断。比较两种诊断方法对胰胆管系统结构的显示情况。结果3D MRCP对胰管的显示率为85.00%,低于2D MRCP的95.00%,差异有统计学意义(P<0.05)。2D MRCP与3D MRCP对胰胆管、肝内胆管、胆囊管、胆总管的显示率比较,差异无统计学意义(P>0.05)。结论2D MRCP更适合对病变的细微结构进行分析诊断,3D MRCP则更适合对病情的整体状况进行有效诊断,两者联合诊断适用于胆胰疾病患者的临床诊断,值得临床推广。

Objective To discuss the value of 2D magnetic resonance cholangiopancreatography(MRCP)and 3D MRCP techniques for the diagnosis of biliary and pancreatic diseases.Methods 80 patients with biliary and pancreatic diseases were diagnosed with both 2D MRCP and 3D MRCP.The display of pancreatic duct structure by two diagnostic methods was compared.Results The display rate of pancreatic duct by 3D MRCP was 85.00%,which was lower than 95.00%by 2D MRCP,and the difference was statistically significant(P<0.05).There was no statistically significant difference between 2D MRCP and 3D MRCP in the display rate of pancreatic duct,intrahepatic duct,cystic duct and common bile duct(P>0.05).Conclusion 2D MRCP is more suitable for analyzing and diagnosing the fine structure of the lesion,and 3D MRCP is more suitable for effectively diagnosing the overall condition of the disease.The combined diagnosis of both is suitable for the clinical diagnosis of patients withsuspected biliary and pancreatic diseases and is worthy of clinical promotion.