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MRCP结合薄层扫描对胆系结石的诊断价值

The diagnostic value of MRCP combined with thin slices scanning in biliary stones

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【作者】 刘于宝胡道予夏黎明王承缘李震邹明丽

【Author】 LIU Yu-bao,HU Dao-yu,XIA Li-ming,et al.Department of Radiology,Tongji Hospit al,Tongji Medical College, Huazhong University of Science and Technology,Wuhan 4 30030,China

【机构】 华中科技大学同济医学院附属同济医院放射科华中科技大学同济医学院附属同济医院放射科 湖北武汉430030湖北武汉430030湖北武汉430030

【摘要】 目的 :评价MRCP结合梗阻部位薄层扫描图像 (或MRI原始图像 )对胆系结石的诊断价值。方法 :对 14 6例经临床手术及病理证实为胆系结石病人的MRCP结合梗阻部位薄层扫描图像 (或MRI原始图像 )、MRCP、US检查结果进行对比分析。结果 :MRCP结合梗阻部位薄层扫描图像 (或MRI原始图像 )诊断胆系结石总准确率为 97.9% ,MRCP诊断胆系结石总准确率为 89.0 % ,US诊断胆系结石总准确率为 89.7% ,MRCP结合梗阻部位薄层扫描图像与MRCP、US的诊断总准确率比较 ,相差具有显著性意义 (χ12 =4.52 ,P1<0 .0 5;χ2 2 =4.2 8,P2 <0 .0 5)。结论 :MRCP结合梗阻部位薄层扫描 (或MRI原始图像 )可进一步提高对胆系结石的诊断准确率

【Abstract】 Objective:T o evaluate the value of MRCP combined with thin slices sc anning (or the source MRI) in diagnosis of biliary stones.Method s:The MRCP,MRC P combined with thin slices scanning (or the source MRI),B-mode ultrosound exam inations were comparatively studied in 146 patients with biliary stones which co nfirmed by operation and pathology.Results: The diagnostic accuracy rate of MRCP combined with thin slices scanning (or the source MRI) was 97.9%,the diagnostic rate of MRCP was 89.0%, The diagnostic accuracy rate of US was 89.7%.the differe nce of the total accuracy rate was significant(χ 1 2=4.52,P 1<0.05, χ 2 2=4.28,P 2<0.05).Conclusion:MRCP combined with thin slices scanni ng (or the source MRI) can improve the diagnostic accuracy rate of biliary stone s.

【关键词】 磁共振成像胆道结石诊断
【Key words】 Magnetic resonance imagingBiliar y calculiDiagnosis
  • 【文献出处】 医学影像学杂志 ,Journal of Medical Imaging , 编辑部邮箱 ,2003年10期
  • 【分类号】R445.2
  • 【被引频次】33
  • 【下载频次】85
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