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目的:探讨B超、CT、MRI(核磁共振成像)、EPCP(逆行性胆胰管造影)对胆道胰腺疾病的临床诊治价值探讨。方法:选取我院自2012年3月至2014年3月收治的160例胆道胰腺疾病患者分别经B超、CT、MRI(核磁共振成像)、EPCP(逆行性胆胰管造影)进行检查,对比其结合患者临床表现经不同辅助检查手段的确诊情况。160例胆道胰腺疾病中胆囊炎40例、胆结石70例、胰腺炎30例、胰腺癌20例。结果:结合患者临床表现,B超、CT、MRI(核磁共振成像)、EPCP(逆行性胆胰管造影)对于胆道胰腺疾病(胆囊炎、胆石症、胰腺炎、胰腺癌)的确诊率相比差异具有统计学意义(P<0.05)。结论:传统B超仅对胆囊炎、胆石症患者的确诊率较高,对于胰腺炎、胰腺癌的确诊率不如CT以及MRI;MRI对于胰腺癌以及胰腺炎的确诊率明显优于CT。ERCP对于各类胆道胰腺疾病均有较高的确诊率,是目前胆道疾病诊治的重要手段。
Objective: To investigate the value of B-ultrasound, CT, MRI (magnetic resonance imaging), EPCP (retrograde cholangiopancreatography) in the diagnosis and treatment of biliary pancreatic diseases. Methods: One hundred and sixty patients with biliary pancreatic diseases admitted from March 2012 to March 2014 in our hospital were examined by B ultrasound, CT, MRI (magnetic resonance imaging) and EPCP (retrograde cholangiopancreatography) respectively. Combined with the clinical manifestations of patients with different auxiliary examination confirmed the diagnosis. 40 cases of cholecystitis, 70 cases of gallstones, 30 cases of pancreatitis and 20 cases of pancreatic cancer in 160 cases of biliary pancreatic diseases. Results: Compared with the clinical manifestations of patients, the diagnosis rate of biliary pancreatic diseases (cholecystitis, cholelithiasis, pancreatitis, pancreatic cancer) by B ultrasound, CT, MRI (magnetic resonance imaging) and EPCP (retrograde cholangiopancreatography) The difference was statistically significant (P <0.05). Conclusion: The diagnosis of cholecystitis and cholelithiasis is more common in patients with B-mode ultrasound. For pancreatitis, the diagnosis rate of pancreatic cancer is lower than that of CT and MRI. The diagnosis rate of pancreatic cancer and pancreatitis is better than that of CT. ERCP for all types of biliary pancreatic diseases have a high rate of diagnosis, diagnosis and treatment of biliary disease is an important means.