摘要
目的:探讨梗阻性黄疸疾病诊断中联合应用MRCP和B-TFE/ARCH序列的临床价值。方法:回顾性分析51例梗阻性黄疸性疾病患者的MRI表现,依据MRCP、B-TFE/ARCH序列以及联合应用这两种序列分别读片。根据与手术、病理结果或临床综合诊断对照进行对比、评分,对评分进行χ2检验,分析结果。结果:MRCP显示腔内病变良好,腔外病变不能显示,B-TFE/ARCH序列能显示腔内、外病变,但不能整体显示胰胆管系统,联合应用MRCP和B-TFE/ARCH序列两种检查方法相互补充较单一使用MRCP或B-TFE/ARCH序列诊断正确率高。经评分及χ2检验差异有统计学意义。结论:联合应用MRCP和B-TFE/ARCH序列对于诊断梗阻性黄疸较单一使用MRCP或B-TFE/ARCH序列有明显价值,可提高对梗阻性黄疸病因的确诊率,因此它可以作为诊断本类疾病的常规方法。
Objective： To investigate the clinic value of combined application of MRCP and B-TFE/ARCH series to the diagnosis of the infarction jaundice. Methods： MR1 behaviors of 51 infarction jaundice patients were reviewed, Three imagery doctors analyzed the films based on MRCP, B-TFE/ARCH series and the combined application of these two series with no ctinical data on hand. Comparisons between surgery and pathology results and the clinical diagnosis were carried out and scored. The scores were tested with χ^2, and the results were discussed. Results： MRCP was efficient to display the intracavity defects, but ineffective to display the outracavity defects. B-TFE/ARCH was able to display the defects in intracavity and outracavity, but unable to display the full system of pancreatic bile ducts. The combined application of these two examination techniques compensated each other and showed a higher accuracy. The comparisons were scored and a statistic significant differences were found based on the χ^2 test. Conclusion： The combined application of MRCP and B-TFE/ARCH is an efficient method to diagnose the infarction jaundice in comparison with the single applications, It may improve the accurate diagnosis rate, and can be used as a common method for examinations of the infarction jaundice disease.
出处
《医学理论与实践》
2007年第2期137-140,共4页
The Journal of Medical Theory and Practice
