CAJ | 학술논문

目的：探讨腹部CT、B超与核磁胰胆管成像在肝外胆管结石诊断中的临床价值。方法选取我院于2011年9月～2013年6月收治的80例肝外胆管结石的患者，将这80例肝外胆管结石的患者既作为治疗组，同时也作为相对于其他两种检查方法来说的观察组，那么治疗组和观察组就是相同的80例患者，对该组患者分别采用腹部CT、B 超与核磁胰胆管成像三种不同的检查方法进行检测[1]，比较两组不同检测方法的诊断效果。结果腹部CT与核磁胰胆管成像的检出率要明显高于B超的检测率；核磁胰胆管成像的检出率要明显高于腹部CT的检测率，对比结果发现差异具有统计学意义（P＜0.05）。患者肝外胆管结石没有超过8mm的的检测结果对比，腹部CT与核磁胰胆管成像的检出率要明显高于B超的检测率，对比结果发现，差异具有统计学意义（P＜0.05）。但是腹部CT和B超检出率对比结果发现，差异不具有统计学意义（P＞0.05）。结论采用核磁胰胆管成像检测的诊断方法，检测后的诊断结果高于腹部CT和B超的检测检出率，但是采用B超进行检测，相对来说，比较经济实惠，因此仍然可以作为诊断肝外胆管结石患者的初步检测。
목적：탐토복부CT、B초여핵자이담관성상재간외담관결석진단중적림상개치。방법선취아원우2011년9월～2013년6월수치적80례간외담관결석적환자，장저80례간외담관결석적환자기작위치료조，동시야작위상대우기타량충검사방법래설적관찰조，나요치료조화관찰조취시상동적80례환자，대해조환자분별채용복부CT、B 초여핵자이담관성상삼충불동적검사방법진행검측[1]，비교량조불동검측방법적진단효과。결과복부CT여핵자이담관성상적검출솔요명현고우B초적검측솔；핵자이담관성상적검출솔요명현고우복부CT적검측솔，대비결과발현차이구유통계학의의（P＜0.05）。환자간외담관결석몰유초과8mm적적검측결과대비，복부CT여핵자이담관성상적검출솔요명현고우B초적검측솔，대비결과발현，차이구유통계학의의（P＜0.05）。단시복부CT화B초검출솔대비결과발현，차이불구유통계학의의（P＞0.05）。결론채용핵자이담관성상검측적진단방법，검측후적진단결과고우복부CT화B초적검측검출솔，단시채용B초진행검측，상대래설，비교경제실혜，인차잉연가이작위진단간외담관결석환자적초보검측。
Objective To investigate the clinical value of abdominal CT, B ultrasound and nuclear magnetic cholangiopancreatography in the diagnosis of extrahepatic bile duct stones.MethodsEighty patients with extrahepatic bile duct stones treated in our hospital from September 2011 to June 2013 were selected. The 80 patients served as both the treatment group and the observation group with respect to the other two examination methods, so the treatment group and the observation group were the same 80 patients. These 80 patients received abdominal CT, B ultrasound and nuclear magnetic cholangiopancreatography detection respectively. The diagnostic effects of different detection methods of the two groups were compared.Results The detection rate of abdominal CT combined with nuclear magnetic cholangiopancreatography was significantly higher than that of B ultrasound, and the detection rate of nuclear magnetic cholangiopancreatography was significantly higher than that of abdominal CT, with statistically significant differences (P<0.05). None of the extrahepatic bile duct stones was larger than 8 mm. The detection rate of abdominal CT combined with nuclear magnetic cholangiopancreatography was significantly higher than that of B ultrasound, with statistically significant differences (P<0.05). But abdominal CT and B ultrasound did not have significantly different detection rates (P>0.05), with no statistical significance.ConclusionNuclear magnetic cholangiopancreatography has higher detection rate than abdominal CT and B ultrasound, but B ultrasound is relatively economical and practical, and thus can still serve as the primary detection method in the diagnosis of extrahepatic bile duct stones.