Abstract：Objective To explore manifestations and diagnostic value of magnetic resonance cholangiopancreatography (MRCP) in patients with cholecystolithiasis complicated with cholecystitis. Methods The clinical data of 80 patients who underwent laparoscopic cholecystectomy in Anqing First People’s Hospital of Anhui Province from July 2018 to April 2021 were retrospectively analyzed. All subjects underwent upper abdominal MRCP examination and color ultrasound examination before surgery. MRCP and color ultrasound manifestations of patients with cholecystolithiasis complicated with cholecystitis were observed, and the diagnostic efficacy of MRCP and color ultrasound in cholecystolithiasis complicated with cholecystitis was compared. The receiver operator characteristic curve was drawn and the area under the curves was calculated. Results A total of 37 cases were diagnosed as cholecystolithiasis complicated with cholecystitis, and the remaining 43 cases were chronic cholecystitis. Among MRCP examination results, 33 patients with cholecystolithiasis complicated with cholecystitis were clearly diagnosed in 37 patients, the gallbladder was obviously dilated, and the common bile duct, left and right bile ducts, and pancreatic duct were clearly displayed, different numbers of stones were seen in the duct, with round, oval, strip, and irregular shapes. A total of 24 cases were diagnosed clearly by color ultrasound, the gallbladder was obviously dilated and the ducts and stones were clearly displayed. The sensitivity, specificity, and accuracy of MRCP in the diagnosis of cholecystolithiasis complicated with cholecystitis were 89.19%, 97.67%, and 93.75%, respectively. The area under curve of MRCP was significantly higher than that of color ultrasound, and the difference was highly statistically significant (P < 0.01). Conclusion The accuracy of MRCP in the diagnosis of cholecystolithiasis complicated with cholecystitis is higher than that of color ultrasound. Preoperative MRCP examination is of great significance for patients with cholecystitis suspected of having gallstones, which is worthy of active promotion in clinical practice.
蔡文静 程南生 金张龙. 胆囊结石合并胆囊炎患者MRCP表现及其诊断价值[J]. 中国医药导报, 2022, 19(4): 153-156.
CAI Wenjing CHENG Nansheng JIN-ZHANG Long. Manifestations and diagnostic value of MRCP in patients with cholecystolithiasis complicated with cholecystitis#br#. 中国医药导报, 2022, 19(4): 153-156.
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