超声内镜、腹部超声及磁共振胰胆管造影对胆总管结石诊断价值的对比分析研究

发布时间：2018-03-21 08:29

本文选题：胆总管结石　切入点：腹部超声　出处：《中国内镜杂志》2015年01期 　论文类型：期刊论文

【摘要】：目的探讨超声内镜、腹部超声及磁共振胰胆管造影对胆总管结石的诊断价值。方法收集该院2012年7月-2013年1月诊治的所有可疑胆总管结石患者的临床资料,对腹部超声、磁共振胰胆管造影及超声内镜对胆总管结石诊断的敏感性、特异性、阳性预测值、阴性预测值及准确性予以对比。结果与腹部超声相比,磁共振胰胆管造影及超声内镜对胆总管结石的诊断在敏感性、特异性、阳性预测值、阴性预测值及准确性上差异有显著性(P0.05),尤其在敏感性、阴性预测值及准确性上差异更显著(P0.01)。超声内镜在敏感性及准确性上较磁共振胰胆管造影更高(P0.05)。结论在胆总管结石的诊断上,超声内镜及磁共振胰胆管造影较腹部超声效果更好;超声内镜较磁共振胰胆管造影更具优势,尤其是对胆道下段微小结石。
[Abstract]:Objective to investigate the value of endoscopic ultrasonography, abdominal ultrasonography and magnetic resonance cholangiopancreatography in the diagnosis of choledocholithiasis. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of Mr cholangiopancreatography and endoscopic ultrasonography in the diagnosis of choledocholithiasis were compared. There were significant differences in sensitivity, specificity, positive predictive value, negative predictive value and accuracy between Mr cholangiopancreatography and endoscopic ultrasonography in the diagnosis of choledocholithiasis, especially in sensitivity. The difference of negative predictive value and accuracy was more significant (P 0.01). The sensitivity and accuracy of endoscopic ultrasonography were higher than that of Mr cholangiopancreatography. Conclusion in the diagnosis of choledocholithiasis, endoscopic ultrasonography and magnetic resonance cholangiopancreatography are more effective than abdominal ultrasonography. Endoscopic ultrasonography is superior to magnetic resonance cholangiopancreatography (MRCP), especially for microcalculi of the lower biliary tract.
【作者单位】：浙江省杭州市西溪医院;浙江省杭州市第一人民医院消化内科;
【分类号】：R575.62

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