MRCP与ERCP对低位梗阻性黄疸的诊断价值比较  

Comparative Study on the value of magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography in diagnosing of lower obstructive jaundice

作　　者：王军[1] 刘烨[1] 赵永生[2] 王谦[3] 

机构地区：[1]吉林省长春市二道区疾病预防控制中心,吉林长春130031 [2]吉林大学中日联谊医院,吉林长春130033 [3]中南大学湘雅医学院,湖南长沙410000

出　　处：《现代中西医结合杂志》2011年第3期265-267,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的比较磁共振胰胆管造影术(MRCP)与内镜下逆行胰胆管造影术(ERCP)对低位梗阻性黄疸的诊断价值。方法选择206例梗阻部位位于胆总管十二指肠后段至十二指肠壁段的低位胆管梗阻患者作为研究对象,对其MRCP及ERCP诊断资料进行比较分析。结果 MRCP与ERCP对低位梗阻性黄疸总的定性诊断准确率分别为93.6%和93.2%,二者比较无显著性差异(P>0.05),MRCP与ERCP合并检查的诊断准确率为96.1%,与单项MRCP及ERCP检查的准确率比较无显著性差异(P均>0.05)。结论 MRCP能清晰全面地显示胆胰系统的正常结构及占位性病变;在低位胆管梗阻性疾病的诊断中,MRCP结合MR图像分析可以取代有创性的ERCP。Objective It is to compare the value of magnetic resonance cholangiopancreatography（MRCP） and endoscopic retrograde cholangiopancreatography（ERCP） in diagnosis of lower obstructive jaundice.Methods 206 patients with lower obstructive jaundice were selected to study.The image features of MRCP and ERCP were retrospectively analyzed and contrasted respectively.Results The overall accuracy rate of MRCP and ERCP in diagnosis of lower obstructive jaundice was 93.6% and 93.2%,there was no significant difference between them（P〉0.05）.The accuracy rate of the combination of MRCP and ERCP was 96.1%,there was no significantly difference compared with the accuracy rate of individual MRCP and ERCP（P〉0.05）.Conclusion MRCP is a noninvasive technique for depicting the normal and abnormal pancreaticobiliary duct.The combination of MRCP and MR can replace ERCP in diagnosis of low biliary duct obstructive disease.

关 键 词：磁共振胰胆管造影术 内镜下逆行胰胆管造影术 低位梗阻性黄疸 

分 类 号：R575[医药卫生—消化系统]