腹部CT与核磁胰胆管成像在肝外胆结石诊断中对比评价.docVIP

腹部CT与核磁胰胆管成像在肝外胆结石诊断中对比评价 　　[摘要] 目的 ?Ω共?CT与核磁胆管成像在肝外胆结石诊断中的临床效果进行研究比较。 方法 方便选取2015年1月―2017年1月期间在该院进行治疗的52例肝外胆结石患者，作为该次的研究对象。按照随机分组法，将所有的患者随机分为实验组和对照组，实验组26例患者，采用核磁胰胆管成像法进行治疗；对照组26例患者，采用腹部CT进行治疗，将两组患者的诊断结果与临床结果进行比较后，横向比较两组患者的诊断准确率。 结果 腹部CT共检查出10例被检出肝外胆结石患者，2例误诊，16例漏诊，检出率为38.46%，诊断准确率为30.78%；核磁胰胆管成像共检查出23例被检出肝外胆结石，3例误诊，5例漏诊，检出率为88.46%，诊断准确率为80.76%。 结论 在肝外胆结石的诊断中，与腹部CT相比，核磁胰胆管成像的检出率明显更高，且诊断准确率也明显高于腹部CT，值得今后的临床工作广泛运用。 　　[关键词] 腹部CT；核磁胰胆管成像；肝外胆结石 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0188-03 　　[Abstract] Objective To research and compare the clinical effect of abdominal CT and magnetic resonance cholangiopancreatography in diagnosis of extrahepatic gall stones. Methods 52 cases of patients with extrahepatic gall stones treated in our hospital from January 2015 to January 2017 were convenient selected as the research objects and randomly divided into two groups with 26 cases in each， the experimental group and the control group were respectively treated with magnetic resonance cholangiopancreatography and abdominal CT， and the diagnosis accurate rate of the two groups was compared. Results 10 cases were diagnosed with extrahepatic gall stones by the abdominal CT， including 2 cases misdiagnosed and 16 cases in missed diagnosis， and the test rate was 38.46%， and the diagnosis accurate rate was 30.78%， and 23 cases were diagnosed with extrahepatic gall stones by the magnetic resonance cholangiopancreatography， including 3 cases misdiagnosed and 5 cases in missed diagnosis， and the test rate was 88.46% and the diagnosis accurate rate was 80.76%. Conclusion The test rate of magnetic resonance cholangiopancreatography in diagnosis of extrahepatic gall stones is higher than that of abdominal CT， and the diagnosis accurate rate is obviously higher than that of abdominal CT， which is worth wide application in clinic. 　　[Key words] Abdominal CT； Magnetic resonance cholangiopancreatography； Extrahepatic gall stones； 　　肝外胆结石，大多是由于人们在进食油脂食物后或体位改变后，结石在胆管内向下移动，刺激胆管，