2D-MRCP、3D-MRCP结合冠状位B-TFE序列对胆总管结石诊断价值的比较

目的：探讨2D-MRCP、3D-MRCP结合冠状位B-TFE对胆总管结石的诊断价值。方法：回顾性分析96例经临床、手术病理证实为胆总管结石患者的术前MRI检查资料，比较分析2D-MRCP、3D-MRCP结合冠状位B-TFE对胆总管结石的诊断准确率。结果：96例患者中经手术证实2D-MRCP、3D-MRCP分别结合冠状位B-TFE序列、B-TFE序列对胆总管结石的诊断符合率分别为96.9%、92.7%和82.3%，且三者比较差异有统计学意义（X2=12.75，P＆lt;0.05）。结论：2D-MRCP、3D-MRCP分别结合冠状位B-TFE序列对胆总管结石具有很高的诊断价值，对临床治疗方案的选择具有重要指导意义。

Comparative Study on the Diagnostic Value of 2D-MRCP,3D-MRCP Combine with Coronal B-TFE with Common Bile Duct Stones

Objective：To assess the value of conventional two-dimensional（2D）magnetic resonance cholangiopancreatographic（MRCP）three dimensional（3D）magnetic resonance cholangiopancreatographic（MRCP）combine with coronal balance turbo field echo（B-TFE）with common bile duct stones（CBDS）. Method：The MRI imaging findings of 96 common bile duct stones patients proved by clinical and pathology were retrospectively reviewed and comparative study the diagnostic accordance rate of 2D-MRCP,3D-MRCP combine with coronal B-TFE with common bile duct stones. Result：CBDS was found in 93 of 96 patients with 2D-MRCP with B-TFE,CBDS was found in 89 of 96 patients with 3D-MRCP with B-TFE. CBDS was found in 79 of 96 patients with B-TFE. The diagnostic accordance rate were 96.9%,92.7%and 82.3%. The correlation of MRI and surgical findings was calculated（X2=12.75,P＆lt;0.05）. Conclusion：2D-MRCP,3D-MRCP combine with coronal B-TFE are significant important value in the diagnosis for common bile duct stones and have important guiding significance for clinical treatment options.