| B超、MRCP、ERCP诊断胆总管结石的对比分析 |
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| 引用本文： | 陈淑娜,丁世华,刘新民.B超、MRCP、ERCP诊断胆总管结石的对比分析[J].热带医学杂志,2011,11(7):793-795. |
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| 作者姓名： | 陈淑娜 丁世华 刘新民 |
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| 作者单位： | 深圳市第二人民医院消化内科,广东深圳,518035 |
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| 摘 要： | 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)对胆总管结石的诊断价值。方法收集我院2007年4月至2010年9月胆总管结石患者214例,以内镜下十二指肠乳头括约肌切开术取出结石为诊断标准,对B超、MRCP、ERCP3种检查方法进行对比分析。结果 ERCP诊断胆总管结石的敏感性为99%,显著高于MRCP的90%,差异有统计学意义(χ2=15.58,P<0.01);MRCP的敏感性亦明显高于B超(38.5%),差异有统计学意义(χ2=115.4,P<0.01)。B超、MRCP、ERCP诊断胆总管结石的特异性分别为92.8%、92.9%、100%,3种诊断方法比较差异无统计学意义。MRCP诊断胆总管结石的准确性为93.3%,显著高于B超(85.6%),差异有统计学意义(χ2=4.37,P=0.037),但与ERCP(93.4%)比较差异无统计学意义(χ2=0.03,P=0.95)。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,ERCP具备诊断及治疗双重效果,地位不可替代。
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| 关 键 词： | 胆总管结石 B超 磁共振胆胰管成像 内镜逆行胰胆管造影术 内镜下十二指肠乳头括约肌切开术 |
A comparative analysis of ultrasonography,MRCP and ERCP for diagnosing common bile duct stones |
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| CHEN Shu-na,DING Shi-hua,LIU Xin-min.A comparative analysis of ultrasonography,MRCP and ERCP for diagnosing common bile duct stones[J].Journal Of Tropical Medicine,2011,11(7):793-795. |
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| Authors: | CHEN Shu-na DING Shi-hua LIU Xin-min |
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| Institution: | CHEN Shu-na,DING Shi-hua,LIU Xin-min(The Second People's Hospital of Shenzhen City,Guangdong,Shenzhen 518035,China) |
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| Abstract: | Objective To evaluate the diagnostic value of type-B ultrasonic,magnetic resonance cholangiopancreatography(MRCP) and endoscopic retrograde cholangiophancreatography(ERCP) in common bile duct stones(CBDS).Methods Two hundred and fourteen cases of in-patients diagnosed with CBDS from April 2007 to September 2010 were studied.The results of the three imaging technologies were compared and analyzed.The diagnosis in all cases were confirmed by finding of stones under endoscopic Sphinctero-Papillotomy(EST).Resul... |
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| Keywords: | common bile duct stones type-B ultrasonic MRCP ERCP EST |
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