影像学检查在外科肝胆管疾病诊断中的应用与选择  

Application and selection of medical imaging techniques in obstructive diseases of hepatic and billiary ducts

作　　者：王宁霞[1] 傅元芳[2] 陈汉芳[2] 王永安[2] 罗羽宏[1] 

机构地区：[1]广州市暨南大学医学院第一附属医院外科,510630 [2]广州市暨南大学医学院第一附属医院放射科,510630

出　　处：《上海医学影像》2000年第2期118-119,共2页Shanghai Medical Imaging

摘　　要：目的 比较B超、CT、ERCP和MRCP在肝胆管疾病诊断中的作用,并探讨最优的方法选择。方法 选择68例涉及肝胆管疾病患者,病例包括肝胆管结石、肝门区癌、胰头癌、肝胆管囊肿和十二指肠乳头状瘤等,全部患者行B超检查,其中部分患者分别做CT、MRI和ERCP检查。结果 MRCP在检查成功率、梗阻诊断率和定位定性率方面较其它的方法为高。结论 B超与MR-CP联合应用能在肝胆管疾病定位、定性诊断中取得满意结果。purpose To compare the diagnostic effects of ultrasound, CT, MRCP, ERCP for better examination selection in hepat - billiary dnetus obstruction. Methods 68 paients with hepat - billiary obstruction underwent ultrosound, CT, MRCP and ERCP. These patients involve stone of hepato - choleductus, tumors of the hepatic portal, carcinomas of the pancreatic head, cysts of hepato - choleductus and papilary tumors of the duodenum. Results MRCP was more preferential than other three methods in showing obstructive position and pathogenesis. Conclusion Combna-tion of ultrasound and MRCP, the satisfied clinic diagnosis can be maked in the diseases of hepat - biliary system.

关 键 词：肝胆管 梗阻 B超 CT ERCP MRCP 

分 类 号：R657.404[医药卫生—外科学] R816.5[医药卫生—临床医学]