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目的:探讨肝胆管结石并发肝胆管癌患者行ERCP和MRCP两种检测方法的临床应用价值。方法:分析我院自2012年7月至2014年12月收治的26例胆管癌患者,应用ERCP和MRCP两种诊断方法进行检查,比较两种方法检查准确率。结果:ERCP检查结果,确定肝胆管癌患者76.9%(20/26)。其中胆管壁增厚型3例,腔内乳头型5例,肿块型7例,结节型5例。MRCP检查结果,确定肝胆管癌患者25例,占总数的96.2%(25/26)。其中胆管壁增厚型3例,腔内乳头型5例,肿块型10例,结节型7例。两组检查准确率比较,在统计学上具有显著性意义(X2=4.127,P<0.05)。结论:肝门部胆管癌应用ERCP和MRCP两种方法进行检查,均有较高的检查率,其中MRCP检测率显著高于ERCP,为了提高临床检查率,可以两种方法联合应用。
Objective: To investigate the clinical value of two detection methods ERCP and MRCP in hepatolithiasis complicated with hepatobiliary carcinoma. Methods: Totally 26 patients with cholangiocarcinoma admitted to our hospital from July 2012 to December 2014 were examined by ERCP and MRCP, and the accuracy of the two methods was compared. Results: The results of ERCP examination confirmed 76.9% (20/26) patients with hepatobiliary cancer. Including bile duct wall thickening in 3 cases, 5 cases of intracavitary papillary mass in 7 cases, nodular in 5 cases. According to MRCP, 25 cases of hepatocellular carcinoma were identified, accounting for 96.2% (25/26) of the total. Including bile duct wall thickening in 3 cases, 5 cases of intracavitary papillary mass in 10 cases, nodular in 7 cases. The accuracy of the two groups was statistically significant (X2 = 4.127, P <0.05). Conclusions: Both hysteroscopic cholangiopancreatography and hysteroscopic cholangiocarcinoma of the hilar cholangiocarcinoma should be examined by both ERCP and MRCP methods. Both of them have a higher examination rate, and the detection rate of MRCP is significantly higher than that of ERCP. To improve the clinical examination rate, two methods can be used in combination.