摘要
目的:探讨多层螺旋CT(MSCT)、多层面重建技术(MPR)、磁共振胆胰管成像(MRCP)、超声在原发性胆管癌患者术前可切除性评价的可信度。方法:对92例原发性胆管癌患者资料进行回顾性分析,术前行MSCT联合MPR检查者59例为实验组,行MRCP联合彩色多普勒超声等检查者33例为对照组,对比可切除判断的准确度。结果:实验组59例中术前评估可切除34例,实际切除32例,阳性预测值94.12%;对照组中33例中术前评估可切除28例,实际切除12例,阳性预测值42.86%;实验组与对照组之间阳性预测值差异有统计学意义(P<0.05)。结论:MSCT联合MPR检查在原发性胆管癌可切除性的术前评价中有较高的可信度。
Objective： To investigate the effect of resectability by multislice spiral computer tomography and multiplanar reconstruction to the patients with protopathic cholangiocarcinoma. Methods： 92 patients were analyzed with retrospective method, 59 patients detected by MSCT, MPR were included in experimental group, 33 patients detected by MRCP and sonography were as control group, the superiority of the resectability were compared in statistics method. Results： 34 patients were assessed resectable in experimental group and 32 patients were actually excisional, the positive predictive value was 94.12%; 28 patients were assessed resectable in control group and 12 patients were actually excisional, the positive predictive value was 42.86%. There were significant differences in predictive value. Conclusion： MSCT and MPR has a higher reliability coefficient in assessing resectability to the patients with protopathic cholangiocarcinoma.
出处
《中国现代普通外科进展》
CAS
2009年第6期534-536,共3页
Chinese Journal of Current Advances in General Surgery
关键词
胆管肿瘤
体层摄影术
螺旋计算机
磁共振胆胰管成像
Bile duct neoplasms ,Tomography,spiral computed
Magnetic resonance cholangiopancreatography
