胆道术后并发症的MRCP诊断价值  

Role of MRCP in detecting postoperative complication of biliary tract surgery

作　　者：王昌新[1] 王玉婷[1] 曾飞雁[1] 

机构地区：[1]安徽省立医院影像科MR室

出　　处：《中国CT和MRI杂志》2005年第2期43-46,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨磁共振胰胆管成像(MRCP)对胆道术后并发症的诊断价值及局限性。方法采用快速自旋回波水成像技术对58例胆道术后(胆囊切除术41例,胆总管探查术6例,肝管空肠吻合术11例)出现不明原因发热、黄疸、右上腹痛等症状患者进行MRCP检查,并与直接胆管造影、B超或手术结果对照分析,着重观察是否存在残余胆囊、胆管狭窄、胆道结石、吻合口狭窄等术后并发症。结果MRCP可以满意显示术后胆道全貌,对残余胆囊、胆管狭窄、胆道结石、胆管扩张、吻合口狭窄诊断的准确率分别为77.8%、71.4%、87.5%、100%、88.9%,对胆管狭窄、胆肠吻合口定位准确率均为100%。结论MRCP对胆道术后并发症的诊断和鉴别诊断有重要价值,可为临床进一步治疗提供可靠依据。Objective To discuss merits and limitations of MRCP in detecting postoperative complication of biliary tract surgery. Methods MRCP (fast-echo hydrography) was conducted in 46 patients who developed unexplained fever, ight upper quadrant pain and jaundice after the surgery of biliary tract.The results were compared with the direct cholangiographic,ultrasound and surgical findings, focusing on occurrence of postoperative complications,including residual gallbladder, stenosis of biliary tract,biliay calculi,cholangiectasis and anastomostic stenosis. Results MRCP satisfyingly displayed profile of biliary tract with a correctness rate of 77.8%,71.4%,87.5%,100%,and 88.9% for above mentioned complications one by one,and correctness rates for location of stenosis of biliary tract and anastomostic stenosis were 100%. Conclusion MRCP plays an important role in diagnosis and differentiation of postoperative complications,providing further more information for ensuing therapy.

关 键 词：并发症 MRCP 胆道术后 诊断价值 胆管狭窄 残余胆囊 吻合口狭窄 胆道结石 治疗 不明原因发热 

分 类 号：R657[医药卫生—外科学] R575[医药卫生—临床医学]