MRCP在胆总管结石诊断中的价值探讨-第三军医大学学报.doc

磁共振胰胆管造影与超声检查在胆总管结石诊断中的对比分析 Comparative analysis of magnetic resonance cholangiopancreatography with ultrasonography in diagnosis of common bile duct stones. 涂金成，段霁书，彭 云 （614000 四川 乐山，乐山市中医医院放射科） [摘要] 目的 探讨磁共振胰胆管造影(magnetic resonance cholangiopancreatography，MRCP) 与超声检查对胆总管结石的诊断及临床应用价值。方法 收集31例经临床手术证实的胆总管结石病例，全部病例术前先后于我院接受超声、MRCP检查，并且术前MRCP均拟诊胆总管结石。分析其超声和MRCP表现，并对诊断数据进行分析统计，比较两种方法对胆总管结石的诊断正确率。结果 31例胆总管结石全部获得MRCP正确诊断，并清楚的显示了结石的部位和形态。31例中只有23例获得超声诊断，正确率为74.2％。结论 在胆总管结石诊断中，MRCP较超声具有更高的正确率，对胆道探查术前的评估具有重要参考价值。 [关键词] 磁共振胰胆管造影;胆总管结石;诊断；超声 [中图法分类号] [文献标志码] A [Abstract]. To investigate diagnosis and clinical application value that examination of common bile duct stones for magnetic resonance cholangiopancreatography ( MRCP) and ultrasound. Methods. Collection the data that 31 patients with common bile duct stones were confirmed by clinical operation, All of the patients were in our hospital were examined by MRCP and ultrasound, and were suspected of common bile duct stones because of examined with MRCP. Analysis the findings of ultrasound and MRCP , and the diagnosis of data for statistical analysis, comparison of two methods for diagnosis of common bile duct stones correctly. Results 31 cases of choledocholithiasis was accurately diagnosed by MRCP. MRCP clearly showed the location and shape of common bile duct stones. Of 31 cases, only 23 cases of common bile duct stones was diagnosed by ultrasound, its diagnosis accurate was 74.2%. Conclusion In the diagnosis of common bile duct stones, MRCP has a higher correct rate than ultrasound, which has important reference value to assess the exploration of common bile duct before operation.. [Key words] MRCP; common bile duct stones;diagnosis;ultrasound [通信作者] 涂金成 电话：（0833）2429285，E-mail:1141669943 胆结石是临床上较常见的疾病。影像学诊断常以超作为首选方法，但其准确性不如经内镜逆行胰胆管造影（ndoscopic retrograde cholangio-pancreatography,ERCP）和经皮肝穿刺胆管造影(percutaneous transhepatic cholangiography，PTC)，后者作为有创性检查技术，具有一定的并发症[1]