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

Comparison of endoscopic ultrasonography, transabdominal ultrasonography and magnetic resonance cholangiopancreatography in diagnosis of common bile duct stones

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（P <0.05），尤其在敏感性、阴性预测值及准确性上差异更显著（P <0.01）。超声内镜在敏感性及准确性上较磁共振胰胆管造影更高（P <0.05）。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 evaluate the clinical value and efficacy of EUS, TUS and MRCP in the diagnosis of CBDS. 【Methods】 All clinical data of patients with suspected CBDS which were diagnosed with EUS, TUS and MRCP were collected in our hospital from July 2012 to January 2013, and the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of all above ways were evaluated and compared. 【Results】 Compared with TUS, MRCP and EUS had obvious advantages in the sensitivity, specificity, positive and negative predictive value and accuracy (P <0.05), and especially in sensitivity, negative predictive value and accuracy (P <0.01). EUS had obvious advantages in the sensitivity and accuracy compared with MRCP (P <0.05). 【Conclusion】 In the diagnosis of CBDS, EUS and MRCP are better than TUS; EUS has better advantages compared with MRCP, especially for the lower biliary microlithiasis.