摘要
目的对比磁共振成像(MRI)与多层螺旋电子计算机断层扫描(MSCT)在急性胰腺炎诊断中的诊断价值。方法选取2016年4月~2018年6月于海南省澄迈县人民医院就诊的62例疑似急性胰腺炎的患者作为研究对象,分别对其进行MSCT、MRI及病理检查。比较各检测方法的检查结果,以及MSCT、MRI检查的敏感度、特异度及准确性。结果62例疑似急性胰腺炎患者MSCT检查阳性40例、阴性22例;MRI检查阳性46例、阴性16例;确诊结果显示阳性48例、阴性14例,MSCT、MRI检查结果分别与最后确诊结果比较,差异无统计学意义(P>0.05)。MRI在显示急性胰腺炎患者胰周渗液检出率、全胰或胰腺局部增大检出率方面明显优于MSCT(72.92%vs91.67%,72.92%vs91.67%),差异有统计学意义(P<0.05)。MRI检查结果与MSCT检查结果比较,MRI的敏感度、特异度、准确性均高于MSCT(93.75%vs.77.08%,92.86%vs.78.57%,93.55%vs.77.42%),差异有统计学意义(P<0.05)。结论MRI检查与MSCT检查均能对急性胰腺炎进行有效诊断,但MRI检查的诊断价值更高,具有临床应用优势。
Objective To compare the diagnostic value between multi-slice spiral computed tomography (MSCT) and magnetic resonance imaging (MRI) in the diagnosis of acute pancreatitis. Methods 62 patients with suspected acute pancreatitis from April 2016 to June 2018 were examined by MSCT,MRI and pathology. The sensitivity,specificity and accuracy of multi-slice spiral CT,MRI were compared. Results There was no significant difference between the results of MSCT and the final diagnosis of the patients by McNemar test (P > 0.05). There was no significant difference between the results of MRI and the final diagnosis of the patients by McNemar test (P > 0.05). McNemar test showed that the detection rates of peripancreatic exudate and total pancreatic or pancreatic enlargement in MRI were significantly higher than those in MSCT (P < 0.05).. The sensitivity,specificity and accuracy of MRI were significantly higher than those in the MSCT (P < 0.05). Conclusion Both MRI and MSCT can effectively detect acute pancreatitis,but MRI has the highest diagnostic value and has the advantage of clinical application.
作者
梁林
王圣恩
梁定才
Liang Lin;Wang Shengen;Liang Dingcai(Department of Radiology,People's Hospital of Chengmai County,Chengmai 571900,China)
出处
《中华保健医学杂志》
2019年第4期344-347,共4页
Chinese Journal of Health Care and Medicine
