摘要
目的 评价磁共振胰胆管成像（MRCP）与经内镜胰胆管造影（ERCP）对梗阻性黄疸的诊断价值。方法 对32例梗阻性黄疸患者先后进行MRCP与ERCP检查,所有诊断均经手术或病理证实。结果 MRCP与 ERCP对梗阻的定位准确率分别为 90.6％（29/32）及 82.8％（24/29）,两者差异无统计学意义（P=0.5960）,合并两者检查的准确率为96.9％（31/32）,与单项 MRCP（P=0.3010）、ERCP（P=0.0643）准确率差异无显著性意义。MRCP与ERCP对梗阻的定性诊断准确性分别为75.0％（24/32）及72.4％（21/29）,两者间差异无显著意义（P=0.9503）,合并两者检查的准确率为 93.8％（30/32）,高于 MRCP（P=0.0387）或ERCP（P=0.0245）单项检查。结论MRCP与ERCP都是有效、安全的诊断梗阻性黄疸的方法,MRCP与ERCP相结合诊断准确率可进一步提高。
Objective To evaluate the clinical value of magnetic resonance cholangiopancreatogra-phy ( MRCP) and endoscopic retrograde cholangiopancreatography ( ERCP) in the diagnosis of obstructive jaundice. Methods MRCP and ERCP were performed in 32 patients with obstructive jaundice, all patients were diagnosed surgically or histopathologically. Results The level of obstruction was diagnosied by MRCP and ERCP with accuracy of 90.6% (29/32) and 82. 8% (24/29) respectively(P =0. 5960) ,whereas the accuracy of combination of MRCP and ERCP reached 96. 9% (31/32) . For the etiologic diagnosis, the accuracy reached 75.0% (24/32) and 72. 4% (21/29) in MRCP and ERCP respectively ( P = 0. 9503) , whereas the accuracy MRCP and ERCP of imcombination reached 93. 8% (30/32) , significantly higher than that of MRCP( P = 0.0387) or ERCP alone(P = 0. 0245). Conclusions MRCP and ERCP are reliable and safe methods for the diagnosis of obstructive jaundice; furthermore, combination of the two procedures could improve the efficacy of diagnosis.
出处
《中华消化内镜杂志》
2002年第5期271-273,I001,共4页
Chinese Journal of Digestive Endoscopy
关键词
磁共振胰胆管成像
内镜逆行胰胆管造影术
梗阻性黄疸
诊断
Magnetic resonance imaging
Endoscopic retrograde cholangiopancreatography
Jandice, obstructive
