CT增强扫描与MRCP在肝内胆管癌诊断中的应用对比研究

目的探讨CT增强扫描与MRCP在肝内胆管癌诊断中的应用价值差异。方法回顾性分析2014年1月到2015年12月的63例经手术病理证实的肝内胆管癌患者的增强CT扫描、MRCP平扫资料,比较分析增强CT和MRCP的诊断结果。结果本组研究肝内胆管癌患者63例,经增强CT诊断,确诊48例,增强CT对肝内胆管癌的确诊率达76.2%;经MRCP诊断,确诊55例,MRCP对肝内胆管癌的确诊率高达87.3%。由此可见MRCP的诊断准确率显著高于增强CT诊断,此差异具有统计学意义(P0.05)。结论 MRCP在肝内胆管癌诊断中比增强CT更具有优势,临床诊断中可联合应用两种方法对肝内胆管癌进行诊断。

Comparative Study on the Application of Enhanced CT Scanning and MRCP in the Diagnosis of Intrahepatic Cholangiocarcinomas

Objective To explore the value of enhanced CT and MRCP in the diagnosis of intrahepatic cholangiocarcinomas. Methods The data of enhanced CT and MRCP in 63 patients with intrahepatic cholangiocarcinomas confirmed by operation and pathology from 2014 to 2015 were analyzed retrospectively. The diagnostic results of enhanced CT and MRCP were compared and analyzed. Results 63 cases of this group of patients with intrahepatic cholangiocarcinomas, by enhanced CT diagnosis, diagnosed in 48 cases, diagnosis rate was 76.2%, the MRCP diagnosis of 63 cases, MRCP on intrahepatic cholangiocarcinomas diagnosis rate up to 87.3%. Thus the diagnostic accuracy of magnetic resonance imaging was significantly higher than that of enhanced CT diagnosis, the difference between the two groups was statistically significant. Conclusion MRCP is superior to enhanced CT in diagnosis of intrahepatic cholangiocarcinomas, but we can diagnosos intrahepatic cholangiocarcinomas by the combination of two methods in clinic.