【摘要】 目的:比较多层螺旋CT(MSCT)与MRI结合磁共振胰胆管造影术(MRCP)在胆道梗阻性疾病中的诊断价值。方法:临床纳入2014.01～2019.01于我院经过手术病理证实的102例胆道梗阻性疾病患者,所有患者先接受MSCT检查,后接受MRI与MRCP联合检查,与病理结果相比较,对两种检查方式的诊断结果进行观察。结果:MSCT的定位准确率是87.25%明显低于MRI结合MRCP的96.08%,MSCT对良性病变的诊断准确率是86.54%明显低于MRI结合MRCP的96.15%,MSCT对恶性病变的诊断准确率是88.00%明显低于于MRI结合MRCP的96.00%,差异对比有意义,P<0.05。结论:在胆道梗阻性疾病的临床诊断中应用MRI结合MRCP的检查方式诊断准确率明显高于MSCT,能为临床医师制定下一步治疗计划提供有效的参考依据,值得推广。更多还原

【Abstract】 Objective:To compare the diagnostic value of multi-slice spiral CT(MSCT) and magnetic resonance cholangiopancreatography(MRCP) in biliary obstructive diseases.Methods:102 patients with biliary obstructive diseases confirmed by surgery and pathology in our hospital from January 2014 to January 2019 were enrolled in this study. All patients were examined by MSCT first, then by combined examination of MRI and MRCP. The results of the two examinations were compared with the pathological results, and the diagnostic results of the two examinations were observed.Results:The localization accuracy of MSCT was 87.25% lower than that of MRI combined with MRCP, 96.08%, 86.54% for benign lesions, 96.15% lower than that of MRI combined with MRCP, 88.00% for malignant lesions and 96.00% lower than that of MRI combined with MRCP. The difference was significant(P < 0.05).Conclusion:In the clinical diagnosis of biliary obstructive diseases, the diagnostic accuracy of MRI combined with MRCP is significantly higher than that of MSCT, which can provide an effective reference for clinicians to formulate the next treatment plan and is worthy of promotion.更多还原