高场强MRCP在梗阻性黄疸中医辨证分型中应用价值的研究  

The Evaluation of High Strength MRCP in Syndrome Differentiation of TCM on Obstructive Jaundice

作　　者：王绍娟[1] 黄海青[1] 祝新[1] 殷长俊[1] 刘绍伟[1] 

机构地区：[1]南京中医药大学,江苏南京210029

出　　处：《辽宁中医药大学学报》2009年第8期101-103,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨磁共振胰胆管成像(MRCP)在梗阻性黄疸中医辨证分型中的应用价值。方法:用西门子1.5T超导型磁共振成像仪对66例梗阻性黄疸患者进行常规MRI及MRCP检查,同时进行中医辨证分型,所有病例均通过手术病理、ERCP病理结果或临床综合诊断证实。结果:66例梗阻性黄疸病例中,中医辨证分型阳黄30例,主要以结石、炎症、先天囊肿为主;阴黄36例,主要以胆管癌,壶腹癌、胰腺癌为主;阴黄肝外胆管扩张程度以中、重度扩张为主,占88.9%(32/36),阳黄以轻中度扩张为主,占86.7%(26/30);阴黄扩张胆管形态以软藤征为主,占72.2%(26/36);阳黄以枯枝征为主,占73.3%(22/30)。结论:MRCP征象与黄疸中医证型之间存在显著相关性,高场强MRCP可为梗阻性黄疸的中医辨证分型提供有价值参考。Objective： To evaluate the application value of high strength magnetic resonance cholan giopancreaticography（MRCP）for syndrome differentiation of TCM in patients with obstructive jaundice. Methods ： Routine MRI and MRCP examination on 66 patients with obstructive jaundice were performed with 1.5T Siemens super- conductive magnetic resonance machine. Each case had been classified in either syndrome differentiation of TCM .Final diagnosis were confirmed by surgical or ERCP pathology and clinic observation.Results ： Of the 66 patients,30 cases showed Yang-Huang, the main obstructive reasons of which included bile duct stones, inflammatory stenosis and congenital cyst; 36 cases showed Yin-Huang, the main obstructive reasons were bile duct carcinomas, ampullary carcinomas or pancreatic carcinomas. The dilatation degree of bile duct was more serious in cases of Yin-Huang than that in Yang-Huang . Majority of Ying-Huang presented vine-sign well dead-wood sign was more freguently found in cases of Yang-Huang. Conclusion ： The signs of MRCP had close relationgship with the syndrome differentiation of TCM.High strenghth MRCP was helpfuI in the syndrome differentiation of TCM.

关 键 词：磁共振胆胰管成像 梗阻性黄疸 阴黄 阳黄 

分 类 号：R256.41[医药卫生—中医内科学]