MRCP对低位梗阻性黄疸的诊断价值及与ERCP的比较分析  

Comparing the Value of MRCP and ERCP in Detection of Low-set Obstructive Jaundice

作　　者：陈小余 周开渝 肖红 宋学文 肖纯[2] 

机构地区：[1]武警重庆总队医院放射科,重庆400061 [2]南华大学附属第二医院,湖南衡阳421001

出　　处：《河北医学》2015年第2期234-237,共4页Hebei Medicine

基　　金：湖南省科技计划项目;(编号:2014TD1126)

摘　　要：目的:探讨磁共振胰胆管造影术(MRCP)在低位梗阻性黄疸中的诊断价值及其与内镜下逆行胰胆管造影术(ERCP)的比较。方法:选取本院2011年至2013年82例低位梗阻性黄疸患者,将其随机分为对照组和实验组,其中对照组使用ERCP,实验组使用MRCP,观察并比较两组患者的诊断准确率,并发症,淀粉酶水平和脂肪酶水平。结果:对照组诊断准确率为93.90%,而实验组诊断准确率为95.12%,组间比较差异不显著(χ2=3.902,P>0.05);对照组脂肪酶和淀粉酶水平均明显高于实验组,组间比较差异显著(t=25.232,23.184;P<0.05);对照组并发症发生率为41.46%,而实验组无并发症,组间比较差异显著(χ2=18.036,P<0.05)。结论:低位梗阻性黄疸的诊断首选MRCP,可结合ERCP进行确诊。Objective：To investigate the diagnostic value of magnetic resonance cholangiopancreatogra-phy （ MRCP ） versus endoscopic retrograde cholangiopancreatography （ ERCP ） prospectively in detection of low-set obstructive jaundice. Method： 82 patients with low-set obstructive jaundice in our hospital from 2011 to 2013 were randomly divided into control group and experimental group. And the control group was used ERCP, while the experimental group was used MRCP, and then observed the diagnostic accuracy, complications, amylase and lipase levels between two groups. Result：There was no significant difference in the accuracy rate of diagnosis between MRCP and ERCP （χ2=3.902, P〈0.05）. Levels of amylase and li-pase in the control group were higher than the experimental group （ t=25.232, 23.184;P〈0.05） . Complica-tion caused by ERCP were more than those by MRCP （χ2=18.036, P〈0.05）. Conclusion： Patients sus-pected to be suffered from low-set obstructive jaundice should be examined by MRCP to confirm firstly, and then further to be examined by ERCP if necessary.

关 键 词：MRCP ERCP 低位梗阻性黄疸 

分 类 号：R575[医药卫生—消化系统]