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磁共振胆胰管成像对阻塞性黄疸的临床诊断价值 被引量:2

Value of magnetic resonance cholangiopancreatography in diagnosis of obstructive jaundice
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摘要 目的探讨磁共振胆胰管成像(magnetic resonance cholangiopancreatog-raphy,MRCP)对阻塞性黄疸病因的临床诊断应用价值。方法对进行MRCP及逆行胰胆管造影(endoscopic retrograde cholangiopancreatog-raphy,ERCP)的47例患者进行回顾性分析,对检查结果进行对比。结果 47例进行磁共振胆胰管成像检查均获成功,诊断结果与ERCP结果有42例为一致;其中:33例胆管及胆囊结石,占78.6%。胆管恶性病变阻塞6例,占14.3%,3例胆管癌,1例胆胰壶腹癌,2例胰头癌(均有术后获得病理证实)。结论 MRCP可提供良好的胆胰系整体图像,对阻塞性黄疸的病变诊断效果好,具有无创性、无损伤的优势,易于被老年、体弱患者接受。MRCP可为阻塞性黄疸病因诊断提供可靠的临床诊断依据。 Objective To study the clinical application value of magnetic resonance cholangiopancreatography (MRCP) on obstructive jaundice. Methods Magnetic resonance cholangiopancreatography conducted between January and endoscopic retrograde cholangiopancreatog - raphy(ERCP) in 47 patients retrospectively analyzed the results of the examination were compared. Results 47 cases of magnetic resonance cholangiopancreatography examination were successful, the diagnosis results and the ERCP results 42 eases; among them: 33 cases of bile duct and gallbladder stone, about 78. 6%. 6 cases of malignant biliary obstruction, in about 14. 3%, 3 cases of bile duct carcinoma, 1 cases of biliary and pancreatic carcinoma of ampulla, 2 cases of carcinoma of head of pancreas ( were obtained after surgery and pathology). Conclusion The MRCP can provide good pancreaticobiliary overall image, leading to disease diagnosis of obstructive jaundice, is non - invasive, no damage, easy to be accepted, frail elderly patients. Provide a reliable basis for clinical diagnosis of obstructive jaundice disease.
出处 《医药论坛杂志》 2014年第11期86-87,共2页 Journal of Medical Forum
关键词 磁共振胆胰管成像 逆行胰胆管造影 阻塞性黄疸 Magnetic resonance eholangiopancreatog - raphy Endoscopic retrograde cholangiopanereatog - raphy Obstructive jaundice
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