摘要
【目的】探讨磁共振胰胆管成像(MRCP)对梗阻性黄疸的诊断价值。【方法】对165例经手术病理证实的结石,良性狭窄,壶腹癌,胰头癌,胆管癌,肝癌的梗阻性黄疸患者MRCP检查资料进行回顾性分析。【结果】恶性肿瘤77例,结石57例,炎症19例,胆总管蛔虫3例,胆总管囊肿9例。MRCP能清晰地显示正常胰胆管树的结构,能直观地显示胰胆管扩张和梗阻的部位、形态、范围,其检出率和定位准确率为100%,定性准确率为93.3%。【结论】MRCP对梗阻性黄疸定位,定性诊断准确,特别是对结石的诊断,能清楚地显示梗阻部位、梗阻原因、病变形态、病变与周围结构的关系及病变性质。
[Objective]To study the diagnostic value of obstructive jaundice with magnetic resonance cholangiopancreatography. [Methods]One hundred and sixty five cases with pathologically proved gallstone , benign bile duct stenosis, ampullary carcinoma, carcinoma of head of pancreas, carcinoma of bile duct and liver carcinoma were reviewed. [Results] There were 77 cases malignant tumours, of which 57 cases were gall- stones , 19 inflammation , 3 roundworms of bile duct and 9 congenital chotedochal cyst. MRCP displayed clear- ly the normal pancreaticobillary duct and showed directly the position and form of the obstruction or dilatation of the pancreaticobiliary duct . The detection rate and the accuracy of displaying obstructive level was 100%, and the accuracy of judging the nature of obstructive lesion was 93.3%. [Conclusion] The MRCP can display accurately the location and nature of obstructive jaundice. Especially for the diagnosis of gallstone, MRCP can display the locus and cause of obstruction, the form of lesion and its relationship with surrounding structures.
出处
《医学临床研究》
CAS
2008年第7期1174-1177,共4页
Journal of Clinical Research
关键词
胆汁郁积/诊断
胰胆管造影术
内窥镜逆行/方法
磁共振成像
digestive system diseases/DI
cholangiopancreatography, endoscopic retrograde/MT
magnetic resonance imaging
