摘要
目的:研究1.5T磁共振胰胆管成像和16排CT在诊断胆囊结石并肝外胆总管结石中的临床价值。方法:选取2015年1月~2016年2月在某院治疗胆囊结石合并肝外胆总管结石患者155例,根据患者自愿分为两组,观察组80例患者,对照组75例患者。对照组采用方法为常规16排CT技术,观察组采用方法为1.5T磁共振胰胆管成像技术。标准以手术后结果为参考数据,比较两组患者胆囊结石检查确诊率和不同直径结石确诊率情况。结果:手术后胆囊结石检查对照组确诊率79%,观察组确诊率95%,观察组确诊率明显高于对照组,两组间有差异(P<0.05);结石直径0.7cm以下的确诊率比较观察组高于对照组,两组差异明显(P<0.05)。结论:临床诊断胆囊结石并肝外胆总管结石时,1.5T磁共振胰胆管成像确诊率明显要高,特别是在对直径相对较小结石诊断中,1.5T磁共振胰胆管成像技术优势更加明显。
Objective：To study the clinical value of 1.5 T magnetic resonance cholangiopancreatography and 16-slice CT in the diagnosis of cholecystolithiasis with extrahepatic choledocholithiasis.Methods：155 cases of patients with cholecystolithiasis with extrahepatic choledocholithiasis treated in a hospital from January2015 to February 2016 were selected and voluntarily divided into the observation group（80 cases）and the control group（75 patients）.The control group was treated with conventional 16-slice CT technique,and the observation group was treated with 1.5 T magnetic resonance cholangiopancreatography.The diagnostic rate of cholecystolithiasis and the diagnosis rate of stone with different diameters were compared between the two groups.Results：The diagnostic rate of cholecystolithiasis was 79%in the control group and 95%in the observation group,and the diagnosis rate in the observation group was significantly higher than that in the control group（P〈0.05）.The diagnostic rate of stone diameter below 0.7 cm in the observation group was higher than that in the control group,and the difference between the two groups was significant（P〈0.05）.Conclusion：In clinical diagnosis of cholecystolithiasis complicated with extrahepatic choledocholithiasis,the diagnostic rate of 1.5 T magnetic resonance cholangiopancreatography（MRCP）is significantly higher,especially in the diagnosis of relatively small stones with relatively small diameter,the advantage of 1.5 T magnetic resonance cholangiopancreatography is more obvious.
作者
黄继宗
岳春胜
Huang Jizong(Department of Radiology,Fogang County People＇s Hospital,Guangdong Province,Qingyuan 511600)
出处
《数理医药学杂志》
2018年第7期978-979,共2页
Journal of Mathematical Medicine
关键词
肝外胆总管结石
胆囊结石
1.5T磁共振胰胆管成像
16排CT
extrahepatic choledocholithiasis
cholecystolithiasis
1. 5T magnetic resonance cholangio- pancreatography
16 -slice CT
