首页|1.5T磁共振胰胆管成像与腹部CT在胆囊结石中的诊断价值分析

1.5T磁共振胰胆管成像与腹部CT在胆囊结石中的诊断价值分析

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目的 探讨 1.5T磁共振胰胆管成像与腹部CT在胆囊结石中的诊断价值.方法 选取 2020 年 9 月至 2023 年 3 月我院收治的 200 例疑似胆囊结石患者,应用 1.5T磁共振胰胆管成像与腹部CT检查.以手术病理检查结果为金标准,分析两种检查方式对胆囊结石诊断结果的一致性,比较其诊断效能.结果 200 例疑似胆囊结石患者经手术病理检查确诊为胆囊结石 183 例,检出率为 91.5%.κ检验分析结果显示,腹部CT检查结果与手术病理检查结果具有一般的一致性(κ = 0.643,P<0.05);磁共振胰胆管成像检查结果与手术病理检查结果具有较高的一致性(κ = 0.904,P<0.05).磁共振胰胆管成像诊断胆囊结石的灵敏度、特异度与准确度均高于腹部CT(P<0.05).结论 与腹部CT相比,1.5T磁共振胰胆管成像诊断胆囊结石的准确度更高,可为医师后续治疗方案的制定提供更加可靠的数据参考,应用价值显著.
Analysis on the Diagnostic Value of 1.5T Magnetic Resonance Cholangiopancreatography and Abdominal CT in Gallstones
Objective To explore the diagnotic value of 1.5T magnetic resonance cholangiopancreatography and abdominal CT in gallstones.Methods 200 patients with suspected gallstones admitted to our hospital from September 2020 to March 2023 were selected and given 1.5T magnetic resonance cholangiopancreatography and abdominal CT.Taking surgical pathological examination results as the gold standard,the consistency of two examination methods in the diagnosis of gallstones was analyzed,and the diagnostic efficacy was compared.Results Among 200 patients with suspected gallstones,183 cases were diagnosed as gallstones by surgical pathological examination,with a detection rate of 91.5%.κ test analysis results showed abdominal CT had general consistency with surgical pathological examination(κ = 0.643,P<0.05).Magnetic resonance cholangiopancreatography had higher consistency with surgical pathological examination(κ = 0.904,P<0.05).The sensitivity,specificity and accuracy of Magnetic resonance cholangiopancreatography in the diagnosis of gallstones were higher than those of abdominal CT(P<0.05).Conclusions Compared to abdominal CT,1.5T magnetic resonance cholangiopancreatography in the diagnosis of gallstones has higher accuracy,which can provide more reliable data reference for physicians to formulate subsequent treatment plans,with significant application value.

1.5T magnetic resonance cholangiopancreatographyAbdominal CTGallstonesDiagnostic efficacy

石凯、刘东升

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河南省嵩县人民医院影像科,河南洛阳 471400

1.5T磁共振胰胆管成像 腹部CT 胆囊结石 诊断效能

河南省医学科技攻关计划(联合共建)项目

2020010335

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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