| 钱国旗,徐启中,孙新鑫,等.磁共振胆胰管成像联合薄层T2WI-SPAIR对胆囊结石合并胆总管结石诊断价值的研究[J].中国临床保健杂志,2026,(1):89-92. |
| 磁共振胆胰管成像联合薄层T2WI-SPAIR对胆囊结石合并胆总管结石诊断价值的研究 |
| Preoperative evaluation of MRCP combined with T2WI-SPAIR in diagnosing cholecystolithiasis with calculus of common bile duct stones |
| 投稿时间：2025-09-12 |
| DOI：10.3969/J.issn.1672-6790.2026.01.015 |
| 中文关键词: 胆囊结石病 胆总管结石病 磁共振成像 诊断技术,消化系统 |
| 英文关键词: Cholecystolithiasis Choledocholithiasis Magnetic resonance imaging Diagnostic techniques,digestive system 〖FL |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨磁共振胆胰管成像(MRCP)联合薄层T2WI-SPAIR检查对胆囊结石合并胆总管结石的诊断价值。方法 回顾性分析2021年1月至2024年12月安徽医科大学第四附属医院收治的初诊胆囊结石并胆总管结石83例患者病历资料。经手术证实胆囊结石合并胆总管结石80例,未合并胆总管结石3例。按术前检查方法分为MRCP序列组(对照组)及MRCP联合薄层T2WI-SPAIR序列组(观察组),比较两组诊断准确性。结果 观察组诊断准确度为93.98%(78/83)、灵敏度为95.00%(76/80),均高于对照组准确度80.72%(67/83)、灵敏度81.25%(65/80),差异有统计学意义(P<0.05)；MRCP联合薄层T2WI-SPAIR诊断胆囊结石合并胆总管结石的受试者操作特征曲线下面积为0.981,高于对照组的0.913,P<0.05。结论MRCP联合薄层T2WI-SPAIR序列检查对胆囊结石合并胆总管结石诊断准确率比单独使用MRCP序列检查更高。 |
| 英文摘要: |
| Objective To explore the value of magnetic resonance cholangiopancreatography (MRCP) combined with thin-slice T2WI-SPAIR in the diagnosis of cholecystolithiasis with common bile duct(CBD) stones.Methods A retrospective analysis was conducted on the medical records of 83 patients with newly diagnosed gallstones and choledocholithiasis who were admitted to the Chaohu Affiliated Hospital of Anhui Medical University from January 2021 to December 2024.The 80 cases were confirmed by surgery to have both gallstones and choledocholithiasis,while 3 cases did not have choledocholithiasis.Patients were divided into two groups based on preoperative examination methods:the MRCP sequence group (control group) and the MRCP combined with thin-slice T2WI-SPAIR sequence group (observation group).The diagnostic accuracy of the two groups was compared.ResultsThe diagnostic accuracy and sensitivity of the MRCP combined with thin-slice T2WI-SPAIR sequence group were 93.98% (78/83) and 95.00% (76/80),respectively,which were both higher than those of the MRCP sequence group[accuracy:80.72% (67/83),sensitivity:81.25% (65/80)].The differences were statistically significant (P<0.05).The area under the receiver operating characteristic (ROC) curve for MRCP combined with thin-slice T2WI-SPAIR in diagnosing gallstones with choledocholithiasis was 0.981,which was higher than that of the MRCP sequence group (0.913),P<0.05.Conclusions The diagnostic accuracy of MRCP combined with thin-slice T2WI-SPAIR sequence examination for gallstones combined with choledocholithiasis is higher than that of MRCP sequence examination alone. |
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