中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2008年
19期
1465-1467
,共3页
缪林%范志宁%季国忠%文卫%王翔%熊观瀛%蒋国斌%王敏%刘政%吴萍
繆林%範誌寧%季國忠%文衛%王翔%熊觀瀛%蔣國斌%王敏%劉政%吳萍
무림%범지저%계국충%문위%왕상%웅관영%장국빈%왕민%류정%오평
胆总管结石%诊断%超声检查%磁共振成像
膽總管結石%診斷%超聲檢查%磁共振成像
담총관결석%진단%초성검사%자공진성상
Choledocholithiasis%Diagnosis%Ultrasonography%Magnetic resonance imaging
目的 探讨B超、磁共振胆胰管成像(MRCP)、内镜逆行胰胆管造影术(ERCP)在胆总管结石诊断中的价值.方法 收集2005年8月至2007年10月怀疑为胆总管结石且同时行B超、MRCP、ERCP的患者384例,对3种检查方法 进行比较分析.结果 384例患者中,最后经ERCP确诊胆总管结石者370例;B超诊断胆总管结石者268例,其中8例为假阳性,诊断准确率为70.3%(260/370);MRCP诊断362例,其中6例为假阳性,诊断准确率96.2%(356/370).有7例患者MRCP发现有胆总管结石和胆总管扩张,ERCP造影仅发现胆总管扩张,但在用取石网篮和取石气囊清理胆道时取出小结石.结论 B超对于胆总管结石的诊断具有一定的准确率,可作为最基本的检查手段,MRCP和ERCP对于胆总管结石的诊断具有较高的一致性,MRCP可部分替代诊断性ERCP,联合应用MRCP和ERCP可提高胆管结石诊断准确率.
目的 探討B超、磁共振膽胰管成像(MRCP)、內鏡逆行胰膽管造影術(ERCP)在膽總管結石診斷中的價值.方法 收集2005年8月至2007年10月懷疑為膽總管結石且同時行B超、MRCP、ERCP的患者384例,對3種檢查方法 進行比較分析.結果 384例患者中,最後經ERCP確診膽總管結石者370例;B超診斷膽總管結石者268例,其中8例為假暘性,診斷準確率為70.3%(260/370);MRCP診斷362例,其中6例為假暘性,診斷準確率96.2%(356/370).有7例患者MRCP髮現有膽總管結石和膽總管擴張,ERCP造影僅髮現膽總管擴張,但在用取石網籃和取石氣囊清理膽道時取齣小結石.結論 B超對于膽總管結石的診斷具有一定的準確率,可作為最基本的檢查手段,MRCP和ERCP對于膽總管結石的診斷具有較高的一緻性,MRCP可部分替代診斷性ERCP,聯閤應用MRCP和ERCP可提高膽管結石診斷準確率.
목적 탐토B초、자공진담이관성상(MRCP)、내경역행이담관조영술(ERCP)재담총관결석진단중적개치.방법 수집2005년8월지2007년10월부의위담총관결석차동시행B초、MRCP、ERCP적환자384례,대3충검사방법 진행비교분석.결과 384례환자중,최후경ERCP학진담총관결석자370례;B초진단담총관결석자268례,기중8례위가양성,진단준학솔위70.3%(260/370);MRCP진단362례,기중6례위가양성,진단준학솔96.2%(356/370).유7례환자MRCP발현유담총관결석화담총관확장,ERCP조영부발현담총관확장,단재용취석망람화취석기낭청리담도시취출소결석.결론 B초대우담총관결석적진단구유일정적준학솔,가작위최기본적검사수단,MRCP화ERCP대우담총관결석적진단구유교고적일치성,MRCP가부분체대진단성ERCP,연합응용MRCP화ERCP가제고담관결석진단준학솔.
Objective To compare the diagnostic value study the technique of ultrasonography, magnetic resonance cholangiopancreatography(MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) in common duct stones. Methods Three hundreds and eighty-four patients suspected common duct stones from August 2005 to October 2007 were undergone abdominal ultrasonography,MRCP and ERCP. Results There was stone in common duct in 370 and no stones in 14 of 384 patients. Ultrasonography indicated stones 268 cases,8 false positive result was among them. MRCP diagnosed stones in 362 cases and false positive result in 6 cases, ERCP diagnosed stones 370 cases. The diagnostic accuracy of ultrasonography, MRCP and ERCP was 70.3% (260/370), 96.2%(356/370) and 100% respectively. Conclusions The diagnostic accuracy of ultrasonography for common duct stone was little higher, US should be used as a primary checking method. There was higher concordance between MRCP and ERCP for common duct stone. Combination of MRCP and ERCP can improve diagnostic accuracy of common duct stone.
