探讨腹部CT与核磁胰胆管成像在肝外胆结石诊断中的意义.docVIP

精品论文 参考文献 探讨腹部CT与核磁胰胆管成像在肝外胆结石诊断中的意义 绥化市第一医院 152053 【摘 要】 目的 研究分析诊断肝外胆结石时应用核磁成像及腹部CT的应用效果。方法 此次研究的对象是选择肝外胆结石患者106例，将其临床资料进行回顾性分析，并按照检查方法分为核磁组及CT组，各53例。比较两种检查法的临床检测效果。结果 CT组确诊30例，检出率为56.60%，检出阴性者18例（33.96%），可疑5例（9.43%）；核磁组确诊46例，检出率86.79%，检出阴性5例（9.43%），可疑2例（3.77%），两组检出率比较差异具有统计学意义（Plt;0.05）；106例患者中lt;9 cm结石的35例，其中腹部CT法检出11例，检出率为31.43%，核磁成像法检出24例，检出率为68.57%。结论 在诊断肝外胆结石时，应用核磁成像检查法在检出率以及准确率方面比传统的腹部CT均更具优势性，因此，核磁成像检查法值得在临床上进一步推广和使用。 　　【关键词】 腹部CT；核磁成像；诊断；肝外胆结石 　　[Abstract] Objective To study the application effect of magnetic resonance imaging and CT in the diagnosis of extrahepatic gallstones. Methods the study was conducted in 106 cases of extrahepatic gallstones，the clinical data were retrospectively analyzed，and according to the examination methods were divided into nuclear magnetic group and CT group，each of 53 cases. Clinical detection results of two kinds of inspection methods were compared. Results among the 30 cases of patients with CT，detection rate for 56.60%. The positive negative people in 18 cases（33.9%），suspicious in 5 cases（9.43%）；46 cases of patients with magnetic，86.79% detection rate，detected in the negative in 5 cases（9.43%），suspicious in 2 cases（3.77%），two groups of detection rate compared with statistical significance（P lt; 0.05）；35 cases of 106 patients is from 1 to 9 cm stones，including abdominal CT was detected in 11 cases，the detection rate was 31.43% and magnetic resonance imaging method detected 24 cases detection rate was 68.57%. Conclusion in the diagnosis of extrahepatic cholelithiasis，application of nuclear magnetic resonance（NMR）imaging method in detection rate and accuracy than the traditional abdominal CT are of. Therefore，magnetic resonance imaging examination method worth clinical further promotion and use. [Key words] abdominal CT；magnetic resonance imaging；diagnosis；extrahepatic gallstones 肝外胆结石患者通常会产生高热、寒战、胆绞痛等临床症状，如果未能及时给予诊断和对症治疗，会导致患者引发多种并发症，严重影响了患者的生活质量[1]。医学的进步，各种应用于诊断检查设备的设备和方法层出不穷。当前，在临床诊断肝外胆结石时，主要以影像学为重要检查手段。因应用