摘要
目的探讨3.0T磁共振胰胆管成像(MRCP)联合腹部彩超在可疑胆囊结石诊断中的应用价值。方法选择2019年6月至2020年10月安徽省合肥京东方医院医学影像科80例可疑胆囊结石患者为研究对象,均接受腹部彩超和3.0T MRCP检查,并以手术探查结果作为金标准。观察腹部彩超和3.0T MRCP检查对可疑胆囊结石的诊断结果。结果 80例可疑胆囊结石患者经手术探查证实胆囊结石72例。腹部彩超、3.0T MRCP、3.0T MRCP联合腹部彩超对胆囊结石诊断的曲线下面积分别为0.618 (95%CI:0.384~0.852)、0.688 (95%CI:0.452~0.923)、0.938(95%CI:0.802~1.000)。3.0T MRCP联合腹部彩超的曲线下面积大于腹部彩超、3.0T MRCP;特异性高于腹部彩超、3.0T MRCP,差异均有统计学意义(均P <0.05)。结论 3.0T MRCP联合腹部彩超能够提高可疑胆囊结石的诊断率,是胆囊结石可靠、安全的检查方式。
Objective To explore the application value of 3.0T magnetic resonance cholangiopancreatography(MRCP)combined with abdominal color Doppler ultrasound in the diagnosis of suspected gallstones.Methods A total of 80 patients with suspected gallstones admitted to Department of Medical Imaging,Hefei BOE Hospital,Anhui Province from June 2019 to October 2020 were selected as the research subjects.All patients underwent abdominal color Doppler ultrasound and 3.0T MRCP examination,and the results of surgical exploration were taken as the gold standard.The diagnosis results of suspected gallstones by abdominal color Doppler ultrasound and 3.0T MRCP examination were observed.Results Seventy-two cases of gallstones were confirmed by surgical exploration in 80 suspected gallstones patients.The diagnostic area under curve of abdominal color Doppler ultrasound,3.0T MRCP,3.0T MRCP combined with abdominal color Doppler ultrasound were 0.618(95%CI:0.384-0.852),0.688(95%CI:0.452-0.923)and 0.938(95%CI:0.802-1.000).The area under curve of 3.0T MRCP combined with abdominal color Doppler ultrasound was larger than that of abdominal color Doppler ultrasound and 3.0T MRCP;the specificity was higher than that of abdominal color Doppler ultrasound and 3.0T MRCP,and the differences were statistically significant(all P<0.05).Conclusion 3.0T MRCP combined with abdominal color Doppler ultrasound can improve the diagnostic rate of suspected gallstones,which is a reliable and safe examination method for gallstones.
作者
洪杰
蔡琦
崔巍
HONG Jie;CAI Qi;CUI Wei(Department of Medical Imaging,Hefei BOE Hospital,Anhui Province,Hefei 230011,China;Department of Ultrasound Diagnosis,Xuancheng People’s Hospital,Anhui Province,Xuancheng 242000,China;Department of General Surgery,Xuancheng People’s Hospital,Anhui Province,Hefei 242000,China)
出处
《中国医药导报》
CAS
2021年第19期159-162,共4页
China Medical Herald
基金
安徽省重点研究与开发计划项目(201904a07020021)。
关键词
胆囊结石
3.0T磁共振胰胆管成像
腹部彩超
诊断
Gallstones
3.0T magnetic resonance cholangiopancreatography
Abdominal color Doppler ultrasound
Diagnosis
