MRCP与T管造影在胆道术后拔除T管前的对比分析  

Comparison and Analysis of Magnetic Resonance Cholangiopancreatography and T Tube Cholangiography before Pulling out T Tube after Biliary Tract Surgery

作　　者：唐辉蓉[1] 廖陈[1] 马旭东[1] 吴雪松[1] 张家骅[1] 

机构地区：[1]昆明医科大学第二附属医院胃肠外科,云南昆明650101

出　　处：《昆明医科大学学报》2013年第11期40-42,共3页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2010CD167)

摘　　要：目的比较MRCP与T管造影对胆道术后拔除T管的作用与影响.方法回顾分析2009年1月至2011年6月胆道术后留置T管引流的248例患者拔除T管前的临床资料,其中T管造影组195例,MRCP检查组53例,分析T管造影组与MRCP检查组的作用、毒副反应和延长住院时间的影响,探讨MRCP在胆道术后拔除T管前的诊断作用与影响.结果 2组患者检查均获成功,都获得清晰完整的胆管图像.与T管造影组相较,MRCP组53例均得到准确的诊断结果,无假阳性结果出现,无不良反应发生,不延长患者住院时间.结论 MRCP可替代T管造影作为拔除T管前的诊断手段.Objective To compare the function and influence of magnetic resonance cholangiopancreatography （MRCP） and T tube cholangiography before pulling out T tube after biliary tract surgery. Methods Clinical data from 248 patients with T tube drainage after biliary tract surgery bewteen January 2009 and June 2011 were retrospectively analyzed.Among them, the T tube cholangiography group was 195 cases, and MRCP group was 53 cases.Analyzed the function, the toxic side reaction and effect of prolonged hospitalization time of T tube cholangiography group and MRCP group,and discussed the diagnostic effect of MRCP before pulling out T tube after biliary tract surgery.Results Two groups of patients got distinct and integrated image of the bile ducts all.Compared with T tube cholangiography group, all 53 cases patients of MRCP group got accurate of diagnosis results, no fake positive results and adverse reaction occurred, and no prolonged hospitalization. Conclusion MRCP can replace T tube cholangiography as a means of diagnosis before removal of T tube.

关 键 词：核磁共振仪 胆管成像 T管造影 胆道手术 不良反应 诊断手段 

分 类 号：R657.4[医药卫生—外科学]