MRCP对Mirizzi综合征的诊断价值  

The diagnostic value of MRCP in mirizzi syndrome

作　　者：罗雪芬[1] 董海波[1] 

机构地区：[1]浙江省宁波市医疗中心李惠利医院影像科,浙江宁波315041

出　　处：《医学影像学杂志》2008年第7期770-772,共3页Journal of Medical Imaging

摘　　要：目的:探讨Mirizzi综合征的MRCP影像特点及诊断价值。方法:回顾性分析经手术证实19例为Mirizzi综合征患者的MRCP资料,其中,Ⅰ型3例,Ⅱ型11例,Ⅲ型5例,MRCP采用厚体块一次成像和薄层重建两种方法成像。结果:19例患者MRCP的病灶定位准确率100%,15例患者正确分型,3例Ⅱ型误诊为I型,1例Ⅲ型误诊为Ⅳ型,定性准确率79%。结论:MRCP可提高Mirizzi综合征的术前诊断符合率,对指导手术有一定价值。Objective：To evaluate the diagnostic value for Mirizzi syndrome（MS） by MRCP.Methods：19 patients with MS proved by operation,who underwent MRCP,were studied retrospectively.Of the 19 cases,3 cases were type Ⅰ,11 cases were type Ⅱ,and 5 cases were type Ⅲ.MRCP was performed by thick-slab imaging and thin-slice reconstruction.Results：The accuracy of MRCP for evaluating the site of disease was 100%.15 cases were diagnosed exactly,3 cases of type Ⅱ were misdiagnosed as type Ⅰ,and 1 case of type Ⅲ was misdiagnosed as type Ⅳ.Therefore,the accuracy of MRCP for diagnosing the diseases was 79%.Conclusion：MRCP is a reliable noninvasive method for depicting MS and may guide operation.

关 键 词：MIRIZZI综合征 磁共振成像 

分 类 号：R657.4[医药卫生—外科学] R445.2[医药卫生—临床医学]