B超联合磁共振胰胆管成像检查在梗阻性黄疸诊断中应用价值分析.docVIP

B超联合磁共振胰胆管成像检查在梗阻性黄疸诊断中应用价值分析 　　[摘要] 目的 分析并探究B超联合磁共振胰胆管成像检查在梗阻性黄疸诊断中的应用价值。 方法 选取2013年5月～2014年5月我院接受治疗的梗阻性黄疸患者200例，随机分为单纯B超组（65例）、单纯磁共振成像检查组（65例）和B超联合磁共振成像检查组（70例），所有的患者分别进行B超检查、磁共振成像检查以及B超联合磁共振成像检查，接着再经内镜逆行胰胆管造影术检查确诊，最后给予所有的患者手术治疗。记录单纯B超、单纯磁共振成像检查以及B超联合磁共振成像检查的诊断符合率，并比较。 结果 单纯磁共振成像检查的诊断符合率为91%，单纯B超诊断符合率为85.5%，两者相比较，差异有统计学意义（P0.05）；B超联合磁共振成像检查的诊断符合率为97%，均高于单纯的B超和磁共振成像检查的符合率，差异有统计学意义（x2=4.12，4.23，P0.05）。 结论 B超联合磁共振胰胆管成像检查的诊断符合率较高，在梗阻性黄疸诊断中，临床应用价值高，值得在医学临床上广泛的推广和应用。 　　[关键词] B超；磁共振胰胆管成像；梗阻性黄疸；内镜逆行胰胆管造影术 　　[中图分类号] R657.4 [文献标识码] B [文章编号] 2095-0616（2015）01-186-04 　　[Abstract] Objective To analyze and explore the type-B ultrasound value in the diagnosis of obstructive jaundice joint MRCP examination. Methods 200 cases of obstructive jaundice patients from May 2013 to May 2014 in our hospital for treatment were selected， were randomly divided into a type-B ultrasound group（with 65 cases）， magnetic resonance group（with 65 cases） and type-B ultrasound combined MRI group（with 70 cases）， all patients received type-B ultrasound exam， magnetic resonance imaging and magnetic resonance imaging type-B ultrasound joint， followed by endoscopic retrograde cholangiopancreatography diagnosed， finally all patient received surgery. pure B ultrasound， magnetic resonance imaging and pure B ultrasound-joint MRI diagnostic coincidence rate were recorded and compared. Results The coincidence rate of MRI diagnosis was 91%， and that of pure B-diagnosis was 85.5%， which were compared， with statistically significant（P0.05）； the diagnostic compliance rate of B ultrasound-combined magnetic resonance imaging examination was 97%， was higher than the two other groups， with statistically significant（x2=4.12， 4.23， P0.05）. Conclusion The compliance rate of Type-B ultrasound combined diagnostic magnetic resonance cholangiopancreatography examination is higher， in the diagnosis of obstructive jaundice， the clinical application of high-value， is worthy of extensive promotion and application in clinical