磁共振胰胆管造影与内窥镜逆行胰胆管造影对胰腺炎诊断价值的比较  

A comparison of endoscopic retrograde cholangiopancreatography (ERCP) with MRCP for the diagnosis of pancreatitis

作　　者：史景溪[1] 杜菁[2] 

机构地区：[1]天津医科大学附属第一中心医院普外科300192 [2]天津市天和医院放射性

出　　处：《中华普通外科杂志》2001年第11期657-659,共3页Chinese Journal of General Surgery

摘　　要：目的评价磁共振胰胆管造影 (MRCP)对胰腺炎诊断的应用价值。方法回顾性分析3 9例胰腺炎患者的MRCP图像 ,并与内窥镜逆行胰胆管造影 (ERCP)的图像相比较。结果对所得的 196段胰胆管MRCP图像进行分析 ,17段显影不清 (敏感度为 91% ) ,14段显影不准确 (准确率为92 % )。MRCP成像对轻微狭窄或扩张的胆胰管显示不具特征性 ,只有 2例由于人工伪影造成MRCP显影不满意。结论MRCP与ERCP对胰腺炎的诊断有相同的应用价值。在患者不能耐受ERCP检查或ERCP检查失败的情况下 ,MRCP可代替ERCP检查。ObjectrueTo evaluate magnetic resonancec ho langiopancreatography (MRCP) in the diagnosis of acute or chronic pancreatitis . MethodsMRCP was undertaken in 30 patients with chronic and 9 with acute pancreatitis. Comparison was m ade with findings at ERCP.ResultsOf 196 segments of biliary-pancreatic duct analyzed, 17 were not seen at MR CP (sensitivity, 91%). Of the segments visualized at MRCP, 14 were incorrect ly characterized (accuracy, 92%). At MRCP, segments not detected or mischara cterized were either normal, slightly dilated, or narrowed. MRCP image quali ty was not interpretable in two cases due to artifacts. ConclusionVery good correlation between ERCP and MRCP findings was demonstrated. MRCP may substitude for ERCP, particularly in pa tients who cannot undergo ERCP or in whom ERCP has been unsuccessful.

关 键 词：胰腺炎 磁共振成像 胰胆管造影术 内窥镜逆行 诊断 

分 类 号：R657.51[医药卫生—外科学] R445.2[医药卫生—临床医学]