多排螺旋CT胰胆管曲面成像与MRCP对胆道梗阻性疾病诊断价值

目的：比较MRCP、CT胰胆管曲面成像两种手段诊断胆道梗阻性疾病的差异。方法方便选择该院2013年1月—2015年2月诊治的60例临床诊断为梗阻性黄疸的患者，随机分为两组（多排螺旋CT组和MRCP组），各30例，通过多层螺旋CT曲面重建技术对CT增强图像进行胰胆管重建，同时同MRCP的结果进行比较。结果两组患者梗阻部位诊断正确率均为100%。两组对比，结果差异无统计学意义（P>0.05）；CT组有5例曲面重建图像能够很好的显示肝门的软组织肿块，MRCP组仅有1例能很好显示软组织肿块。两组对比差异有统计学意义（P<0.05）。结论MRCP判定疾病部位的准确率最高，CT则快速、方便，在临床上应结合不同患者的实际情况进行不同的检查，如果二者结合判断病因更加精确。

Multiple Row Helical CT Surface Imaging and Pancreatic MRCP for Biliary Obstructive Diseases Diagnostic Value

Objective To compare MRCP, CT cholangiopancreatography imaging surface two means of diagnosis for biliary obstruction. Methods Hospital in January 2013 — February 2015 to collect clinical diagnosis of 60 cases of obstructive jaundice were randomly divided into two groups (group multi-slice spiral CT and MRCP group), 30 cases by multislice spi-ral surface reconstruction of CT Contrast-enhanced CT image reconstruction pancreatic duct, and the results were compared with MRCP. Results The two groups were the site of obstruction diagnostic accuracy rate was 100%. Between two groups, the results was not statistically significant(P> 0.05) ; CT group 5 cases surface reconstruction image can be a good show hi-lar soft tissue mass, MRCP group only one case can be a good show soft tissue mass. Between two groups was statistically significant (P<0.05). Conclusion MRCP accurately determine the site of the highest rates of disease, CT is fast, convenient and clinically different patients should be combined with the actual situation of the different check if the combination of the two is more accurate to judge the cause.