欢迎访问《岭南现代临床外科》官方网站,今天是

岭南现代临床外科 ›› 2012, Vol. 12 ›› Issue (01): 63-65.

• 临床研究 • 上一篇    下一篇

EUS和ERCP、MRCP在可疑胆总管结石诊断中的临床价值

胡世雄1,阴英1,王毅钧2,黄侃2,王三明3,黄毅捷2,彭林2   

  1. 1. 广东省人民医院,广东省医学科学院
    2. 广东省人民医院, 广东省医学科学院
    3. 广东省人民医院 ,广东省医学科学院
  • 通讯作者: 胡世雄

  • Received:2011-12-06 Revised:2012-01-09 Online:2012-02-20 Published:2012-02-20

摘要: 目的:评价内镜超声检查(EUS),内窥镜逆行胆胰管造影(ERCP)和磁共振成像胆胰管造影(MRCP)在诊断可疑胆总管结石的临床价值。 方法:自2009年6月至2010年3月我院收治的胆总管结石可疑病例共93例。93例病例全部经内镜超声检查(EUS),内窥镜逆行胆胰管造影(ERCP)和磁共振成像胆胰管造影(MRCP)方法进行诊断,前瞻性研究三项诊断方法的临床诊断价值。 结果:联合两种以上诊断方法,可大幅提高胆总管患者的诊断准确率。EUS对胆总管结石检出的灵敏性为83.8%,特异性73.7%;ERCP对胆总管结石检出的灵敏性为89.2%,特异性84.2%;MRCP对胆总管结石敏感性为93.2%,特异性100%。 结论:MRCP无论在胆总管结石可疑患者检出的特异性或灵敏性上,都显著高于另EUS和ERCP方法,显示MRCP在诊断胆总管结石可疑患者具有较大的临床优势。胆总管结石可疑患者首先可行MRCP筛查,阴性者可进一步实施ERCP或EUS检查确认。

关键词: 疝, 腹股沟, 疝修补术, UHS疝装置

Abstract: Objective: To evaluate the clinical value and efficacy of EUS, ERCP and MRCP when comparing these three methods in diagnosis of patients suspected with common bile duct stones (CBDS). Methods: A total of 93 patients suspected with CBDS needing treatment in our hospital were diagnosed with EUS, ERCP and MRCP, which aimed to evaluate three methods’ clinical valuve in CBDS diagnosis. Results: Accuracy rate could be significant increased when combining at least two methods in diagnosis of CBDS. The sensitivity and specificity for EUS was 83.9% and 73.7%, for ERCP was 89.2% and 84.2%, and for MRCP was 93.2% and 100%, respectively. Conclusion: It shown the better choice of MRCP in the diagnosis of CBDS for its great advantage in sensitivity and specificity, when compared to EUS and ERCP. Patients suspected with CBDS could be diagnosed with MRCP firstly, and then the negative with MRCP could be performed with ERCP or EUS for CBDS confirmation.

中图分类号: