磁共振胰胆管成像与经内镜逆行胰胆管造影对胆道梗阻性疾病诊断价值的比较  

A comparative study on diagnostic value of ERCP and MRCP in biliary obstruction

作　　者：孙富强[1] 贺军[1] 司遂海[1] 张海荣[1] 杨峰[1] 马翠梅[1] 

机构地区：[1]山东济宁医学院附属医院消化内科,山东济宁272029

出　　处：《中国内镜杂志》2011年第4期389-391,共3页China Journal of Endoscopy

摘　　要：目的比较磁共振胰胆管成像(MRCP)和经内镜逆行胰胆管造影(ERCP)对胆胰疾病的诊断价值。方法对47例胆胰疾病患者行MRCP和ERCP检查,并进行对照分析。结果 MRCP和ERCP总的诊断准确率分别为85.1%和93.6%,对胆胰恶性疾病的诊断准确率分别为82.1%和89.2%,对胆总管结石的诊断准确率分别为89.5%和100%。结论 MRCP是一种安全无创检查手段,可作为胆道梗阻性疾病的首选检查方法,但不能取代ERCP,两者结合互补,可提高胆道梗阻性疾病的诊断准确率。[Objective] To compare the diagnostic value of magnetic resonance cholan-giopancreatography （MRCP） and endoscopic retrograde cholangiopancreatography（ERCP） in bile duct and pancreatic tract disease.[Methods] 47 patients were confirmed by operation or pathology received MRCP and ERCP.[Results] The accuracy rate of MRCP diagnosis was 85.1%,and that of ERCP was 93.6 %.The accuracy rates of MRCP and ERCP in the diagnosis of malignant biliary obstruction were 82.1%,89.2%.And the rates were 89.5%,100% in the diagnosis of cholelithiasis.[Conclustions] MRCP is safe,non-invasive examination method,so that it should be choice to diagnose the biliary obstruction disease,but can not to replace ERCP combined with the two methods can promote the diagnos-is rate.

关 键 词：磁共振胰胆管成像 经内镜逆行胰胆管造影 胆胰系疾病 

分 类 号：R575.7[医药卫生—消化系统]