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老年恶性梗阻性黄疸的影像学意义

Significance of the imaging of MRI of malignant bill duct obstruction in the aged patients
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摘要 目的分析磁共振成像(MRI)结合肝胆胰管成像(MRCP)诊断老年恶性梗阻性黄疸的定位、定性的准确率。方法筛选经过病理证实为恶性梗阻性黄疸且经过MRI、MRCP检查的老年患者31例(≥60岁)。比较在判定梗阻部位及病变性质方面,MRI、MRCP与手术、病理的异同。结果将手术及病理作为标准,31例患者定位诊断率为100%。病变定性的准确率为93.55%,与病理结果相比较,无统计学意义(P>0.05)。结论综合MRCP的磁共振成像在诊断老年恶性梗阻性黄疸方面具有很大优势,它无创伤、准确性高。 Objective To evaluate the accuracy of diagnosis in the aged patients with the diseases of the malignant bill duct obstruction by the magnetic resonance imaging (MRI) combined with magnetic resonance cholangiopancreatography (MRCP). Methods 31 elderly cases diagnosed as malignant bill duct obstruction by MRI and MRCP were compared in location, pathological feature and surgery. Results The accuracy of diagnosed location with MRI is 100% and the accuracy of diagnosed nature is 93.55% comparing to those of pathological results(x^2 = 2. 067, P 〉 0.05). Conclusions The MRI (MRCP) as a good method in diagnosing malignant bill duct obstruction diseases could be an imaging method having higher accuracy without damage and endured easily by the aged patients.
出处 《中国老年学杂志》 CAS CSCD 北大核心 2005年第8期896-898,共3页 Chinese Journal of Gerontology
关键词 胆管梗阻 MRI MRCP Malignant bile duct obstruction Magnetic resonance imaging( MRI) Magnetic resonance cholangiopancreatography(MRCP)
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