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MRCP与ERCP对胆道梗阻性疾病的对比分析 被引量:12

A comparative study on MRCP and ERCP in the diagnosis of biliary obstruction
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摘要 目的:探讨磁共振胰胆管成像(MRCP)及内镜逆行胰胆管造影(ERCP)对胆道梗阻的诊断价值。方法:对30例胆道梗阻患者进行MRCP和ERCP检查,并经手术和病理证实。结果:30例MRCP均获得成功,而ERCP成功率为(29/30)96.7%。MRCP和ERCP总的诊断准确率分别为86.7%和90.0%;其中对恶性病变的诊断准确率分别为87.5%和75.0%;对胆道结石诊断的准确率分别94.4%和100%。结论:MRCP是一种安全有效、非侵袭性、不使用造影剂及无并发症的检查手段,易被患者接受,且其检查成功率高,可作为胆系梗阻性病变的首选检查方法,但不能取代ERCP。 Objective:To detect the values of MRCP and ERCP in the diagnosis of biliary obstruction. Methods:30 patients were confirmed by operation or pathology received MRCP and ERCP. Results: All the patients were successfully revealed by MRCP, compared with 29 patients by ERCP. The diagnostic accuracy rate of MRCP was 86.7%, and that of ERCP was 90.0%. The accuracy rates of MRCP and ERCP in the diagnosis of malignant biliary obstruction were 87.5% ,75.0%. And the rates were 94.4%, 100% in the diagnosis of cholehthiasis. Conclusion: MRCP is simple, safe, noninvasive and not required contrast material in evaluating the biliary and pancreatic duct, so teat it should be the first choice to diagnose the biliary obstruction, but not to replace ERCP.
作者 陈建 刘诗
出处 《医学影像学杂志》 2009年第1期64-66,共3页 Journal of Medical Imaging
关键词 磁共振成像 内窥镜逆行胰胆管造影术 胆系疾病 阻塞 Magnetic resonance imaging ERCP Biliary diseases Obstruction
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参考文献3

  • 1Schwartz LH, Lefkowitz RA, Panicek DM, et al. Breath-hold magnetic resonance cholangiopancreatography in the evaluation of malignant pancreaticobiliary obstruction [ J ]. J Comput Asaist Tomog, 2003,27 : 307 - 314.
  • 2Kaltenthaler E, Vergel YB, Chilcott J, et al. A systematic review and economic evaluation of magnetic resonance cholangiopanc reatography compared with diagnostic endoscopic retrograde cholangiopanc reatography[J]. Health Technol Assess, 2004,8:1 - 89.
  • 3Romagnuolo J, Bardou M, Rahme E, et al. Magnetic resonance cholangiopancreatography: a meta-analysis of test performance in suspected biliary disease[J]. Ann Intern Med,2003,139:547 - 557.

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