腹部CT与核磁胰胆管成像在肝外胆结石诊断中的应用意义

The application of abdominal CT and nuclear magnetic cholangiopancreatography in the diagnosis of extrahepatic gallstones

目的:了解对肝外胆结石患者用腹部CT和核磁胰胆管成像手段检查的临床诊断意义。方法:取本院近年来收治经手术病理确诊肝外胆结石患者108例为分析对象,所有患者均采取腹部CT以及核磁胰胆管成像方式进行检查,对患者影像资料以回顾性方式进行分析并归纳其临床诊断价值。结果:在对结石直径不同(是否超过9cm)检出准确率方面,核磁胰胆管成像准确率有显著优越性(P <0.05);在患者结石检查特异性、敏感性、误诊漏诊率方面,核磁胰胆管成像所得数据相对于腹部CT均有明显优越性(P <0.05)。结论:为肝外胆结石患者用核磁胰胆管成像手段检查,相对于腹部CT诊断方式在准确率方面有明显优势,为患者及时治疗提供良好基础,值得推广。

Objective To understand the clinical significance of abdominal CT and nuclear magnetic cholangiopancreatography in patients with extrahepatic gallstones. Methods A total of 108 patients with extrahepatic gallstones diagnosed by surgery and pathology were enrolled in this study. All patients underwent abdominal CT and nuclear magnetic cholangiopancreatography. The patient’s imaging data were analyzed and summarized in a retrospective manner. Its clinical diagnostic value. Results In the accuracy of detection of different stone diameters(more than 9 cm), the accuracy of nuclear magnetic pancreatic duct imaging was significantly superior(P<0.05). In the patient’s stone examination specificity, sensitivity, misdiagnosis and miss diagnosis rate, nuclear magnetic The data obtained from pancreaticobiliary imaging were superior to abdominal CT(P<0.05). Conclusion The examination of nuclear magnetic cholangiopancreatography for patients with extrahepatic gallstones has obvious advantages in terms of accuracy compared with abdominal CT diagnosis, which provides a good foundation for timely treatment of patients and is worthy of promotion.