彩色多普勒超声与磁共振胰胆管成像诊断胆囊结石价值比较
Comparison of color Doppler ultrasonography and magnetic resonance cholangiopancreatography in the diagnosis of cholecystolithiasis
肖琨 1刘爱华 2刘琨3
作者信息
- 1. 430100 武汉市蔡甸区人民医院协和江北医院超声医学科
- 2. 江汉大学附属医院超声影像科
- 3. 附属湖北省第三人民医院超声科
- 折叠
摘要
目的 分析比较采用彩色多普勒超声与磁共振胰胆管成像(MRCP)诊断胆囊结石的价值.方法 2018 年6 月～2022 年3 月我院诊治的78 例疑似胆囊结石患者,术前行彩色多普勒超声和MRCP 检查后,均接受胆囊切除术治疗.结果 在78 例疑似胆囊结石患者中,经手术证实为胆囊结石71 例[91.0%,其中典型胆囊结石51 例(65.4%),充满型胆囊结石13 例(16.7%),多发性胆囊结石 4 例(5.1%),泥沙样胆囊结石 3 例(3.8%)],非胆囊结石 7 例(9.0%);MRCP对胆囊结石的检出率为83.3%,显著高于彩色多普勒超声检查的64.1%(P<0.05);MRCP诊断胆囊结石的敏感度为90.1%,特异性为85.7%,显著高于彩色多普勒超声检查的67.6%和71.4%(P<0.05);MRCP对直径在 0.5～1.0 cm的结石检出率为43.6%,显著高于彩色多普勒超声检出的 32.1%(P<0.05).结论 MRCP较彩色多普勒超声检查更能发现较小的胆囊结石,具有很大的诊断意义.
Abstract
Objective The purpose of this study was to analyze the diagnostic efficacy of color Doppler ultrasonography and magnetic resonance cholangiopancreatography(MRCP)in patients with cholecystolithiasis.Methods A retrospective analysis was performed on the clinical data of 78 patients with suspected cholecystolithiasis who were admitted to our hospital between June 2018 and March 2022.All patients underwent color Doppler ultrasonography and MRCP,and thereafter received cholecystectomy.Results Out of the 78 patients with suspected cholecystolithiasis,the histopathological examination after operation showed gallbladder stones in71 cases(91.0%),including typical gallbladder stones in 51 cases(65.4%),full gallbladder stone in 13 cases(16.7%),multiple stones in 4 cases(5.1%)and silt-like stones in 3 cases(3.8%),and without stones in 7 cases(9.0%);the diagnostic rate of gallbladder stones by MRCP was 83.3%,much higher than 64.1%(P<0.05)by ultrasonography;the diagnostic sensitivity and specificity by MRCP were 90.1%and 85.7%,both significantly higher than 67.6%and 71.4%(P<0.05)by color Doppler ultrasonography;the detection rates of stones at 0.5-1.0 cm by MRCP was 43.6%,much higher than 32.1%(P<0.05)by ultrasonography.Conclusion The MRCP could detect smaller gallstones effectively,which might help clinicians to deal with appropriately at some special circumstances.
关键词
胆囊结石/磁共振胰胆管成像/彩色多普勒超声/诊断Key words
Cholecystolithiasis/Magnetic resonance cholangiopancreatography/Color Doppler ultrasonography/Diagnostic performance引用本文复制引用
基金项目
湖北省科技厅科研项目(2019CFC895)
出版年
2024
国家科技期刊平台
NSTL
万方数据