胆总管下段微小病变的影像学综合诊断价值  

Diagnostic Value of Small Lesions in Common Bile Duct Radiographic Inspection

作　　者：雷红卫[1,2] 冯友银[1,2] 郑卫华[1,2] 万迪弘[1,2] 李琼[1,2] 汪里萍[1,2] 

机构地区：[1]长江大学临床医学院 [2]荆州市第一人民医院医学影像科,湖北荆州434000

出　　处：《长江大学学报（自科版）（下旬）》2012年第10期9-12,22,共5页Journal of Yangtze University

摘　　要：目的:探讨影像学检查对胆总管下段微小病变的诊断价值。方法:对46例经手术病理证实的胆总管下段微小病变患者的影像学资料进行回顾性分析,并对各种检查之间进行比较分析。结果:在胆总管下段微小病变的诊断中符合率分别为:US检查(56.5%)、MRI+MRCP检查(77.1%)、薄层CT(87.8%)、ERCP检查(87.8%),各种检查均有优缺点。结论:优化联合应用检查方法有助于提高微小病灶的检出率和确诊率。Objective:To investigate the imaging examination on the lower segment of the common bile duct with minimal-change diagnostic value.Methods:46 cases were confirmed by operation and pathology of small lesions in patients with common bile duct imaging data were retrospectively analyzed, and all kinds of examinations performed between comparative analysis.Results:In common bile duct microscopic lesions diagnosis coincidence rate were:US(56.5%),MRI+MRCP(77.1%),CT thin iayer(87.8%),ERCP(87.8%);all kinds of examination have advantages and disadvantages.Conclusion:Optimization of combined application of inspection method is helpful to improve the detection rate of lesions and diagnosis rate.

关 键 词：胆总管病变 超声检查 X线计算机 磁共振胆胰管成像 内窥镜胰胆管逆行造影 

分 类 号：R445[医药卫生—影像医学与核医学] R657.4[医药卫生—诊断学]