ERCP和MRCP在儿童胆胰疾病中的应用与评估  

Value of endoscopic retrograde cholangiopancretography(ERCP) and magnetic resonance cholangiopancreatography(MRCP) in evaluating biliary tract abnormalities and pancreatic diseases in children

作　　者：余世耀[1] 张弛[1] 施诚仁[1] 王捍平[1] 励楚刚[1] 许德棣[1] 葛莉[1] 吴燕[1] 

机构地区：[1]上海第二医科大学附属新华医院小儿外科,200092

出　　处：《中华小儿外科杂志》2001年第3期147-149,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨经内窥镜十二指肠孔头插管进行胰胆管造影 (ERCP)和磁共振胰胆管造影(MRCP)在我国小儿胰胆疾病中应用的价值。方法　分析 41例接受ERCP检查的患儿B超、CT、ERCP和MRCP的检查结果和ERCP的并发症 ,并和手术结果进行比较。结果　ERCP显示 36例胆总管扩张 ,3例胆总管结石 ,1例反复发作的胰腺炎 ,胰管扩张 ,1例阴性 ;MRCP检查 2 3例 ,胆管扩张 2 0例 ,胆总管结石 2例 ,阴性 1例。ERCP的敏感性和特异性分别为 95 .1%、97.4% ;MRCP的敏感性和特异性为 94.6 %、94.8% ;3例发生ERCP后并发症 ,主要是胰腺炎 ,发生率为 4.6 %。结论　ERCP和MRCP对小儿胰胆系统疾病的影像学诊断有很高的敏感性和特异性 。Objective This study determined in the sensitive, specificity and complication of endoscopic retrograde cholangiopancreatography(ERCP) and magnetic resonance cholangiopancreatography(MRCP) in the evaluation of biliary tract abnormalities and pancreatic diseases in children.Methods Forty one were subjected elective ERCP and twenty three patients to MRCP. The results of CT, ultrasound, ERCP and MRCP were compared with the those of operation. Results ERCP showed bile duct dilatation(n=36), CBD stone(n=2), recurrent pancreatitis(n=1),unclear(n=1),normal finding(n=1);MRCP showed bile duct dilatation(n=20),CBD stone(n=2),normal finding(n=1).The sensitive and specificity of ERCP were 95.1% , 97.4% ,respectively.The sensitive and specificity of MRCP were 94.6% , 94.8% , Respectively.Three patients had Post ERCP pancreatitis.Conclusions ERCP and MRCP had a very high sensitivity and specificity in evaluation of the biliary tract and pancreatic diseases in children.We believe that ERCP and MRCP can be used as routine diagnostic methods for biliary tract and pancreatic diseases in children.

关 键 词：ERCP 儿童 胆胰疾病 NMR成像 

分 类 号：R726.5[医药卫生—儿科]