CAJ | 학술논문

目的：探讨B型超声扫描( B-US)、电子计算机断层扫描( CT)、磁共振成像( MRI)、内镜逆行胰胆造影( ERCP)等检查方法对肝胆管结石病的诊断效果。方法回顾性分析2000年1月至2015年1月529例肝胆管结石病患者的临床资料,统计分析B-US、CT、MRI和ERCP这4种影像学检查方法以及B-US+CT、B-US+MRI、B-US+ERCP对529例肝胆管结石病在肝内胆管结石、肝叶病变、胆管狭窄、胆管扩张等方面的敏感性差异。结果 B-US和MRI对结石的敏感性最高,CT和MRI对肝叶病变的敏感性最高,B-US和MRI对胆管扩张的敏感性最高,ERCP和MRI对胆管狭窄的敏感性最高,B-US与MRI联合应用最适合肝胆管结石病的全面诊断。结论 B-US与MRI联合应用是肝胆管结石病术前最佳的影像学检查方式。
목적：탐토B형초성소묘( B-US)、전자계산궤단층소묘( CT)、자공진성상( MRI)、내경역행이담조영( ERCP)등검사방법대간담관결석병적진단효과。방법회고성분석2000년1월지2015년1월529례간담관결석병환자적림상자료,통계분석B-US、CT、MRI화ERCP저4충영상학검사방법이급B-US+CT、B-US+MRI、B-US+ERCP대529례간담관결석병재간내담관결석、간협병변、담관협착、담관확장등방면적민감성차이。결과 B-US화MRI대결석적민감성최고,CT화MRI대간협병변적민감성최고,B-US화MRI대담관확장적민감성최고,ERCP화MRI대담관협착적민감성최고,B-US여MRI연합응용최괄합간담관결석병적전면진단。결론 B-US여MRI연합응용시간담관결석병술전최가적영상학검사방식。
Objective To explore the diagnosis effect of B-US、CT、MRI and ERCP for hepatolithiasis. Methods Clinical data of 529 patients with hepatolithiasis who were admitted to hospital from January 2000 to January 2015 were retrospectively analyzed. The susceptibili-ty differences in intrahepatic stone, hepatic lobe lesion, stenosis and cholangiectasis of bile duct were statistically analyzed through different imaging checks, namely B-US, CT, MRI , ERCP, B-US+CT, B-US+MRI and B-US+ERCP. Results B-US and MRI showed highest sensitivity for intrahepatic stone. CT and MRI showed highest sensitivity for hepatic lobe lesion. B-US and MRI showed the highest sensitivity for cholangiectasis of bile duct. ERCP and MRI showed highest sensitivity for bile duct stenosis. The combined application of B-US and MRI is comprehensive diagnosis for hepatolithiasis. Conclusion B-US associated with MRI is the best methods of imaging check befor hepatolithi-asis surgery.