N-CTCP与MRCP对阻塞性黄疸诊断价值的对比分析  

The contrast analysis of the diagnostic value for obstructive jaundice between N-CTCP and MRCP

作　　者：李国惠[1] 张家敏[1] 俞世安[1] 许龙堂[1] 厉学民[1] 龚道军[1] 应明亮[1] 

机构地区：[1]浙江大学金华医院肝胆胰外科一区,浙江金华321000

出　　处：《肝胆胰外科杂志》2015年第2期108-110,共3页Journal of Hepatopancreatobiliary Surgery

基　　金：省卫生厅学科平台计划重点项目(2011ZDA029);金华市科技计划重点项目(2011-3-006)

摘　　要：目的探讨256层螺旋阴性法CT胰胆管成像(N-CTCP)与磁共振胰胆管成像(MRCP)对胆道梗阻部位、性质以及受累范围的诊断价值。方法 96例临床诊断为梗阻性黄疽的患者行MRCP与N-CTCP检查,将两种检查结果与手术病理确诊结果进行比较。结果 N-CTCP和MRCP对梗阻性黄疸的定位准确率均为100%(96/96)。N-CTCP对梗阻性黄疸定性诊断准确率为94.7%(91/96),MRCP为85.4%(82/96),两者比较无统计学差异(P=0.051)。N-CTCP对恶性肿瘤病变的定性诊断准确率较高(95.0%vs 83.9%,P=0.013)。结论运用N-CTCP多种重建方法可全方位观察病变部位,包括形态、密度及邻近组织情况,作为阻塞性黄疸的术前筛选,对于提高疾病诊断的准确度具有很高的价值。Objective To explore the diagnostic value of 256-slice negative CT cholangiopancreatography（NCTCP） and MRCP for location, cause and range of obstructive jaundice. Methods Ninety-six patients with obstructive jaundice proved by clinical or pathology were underwent N-CTCP and magnetic resonance cholangiopancreatography（MRCP） separately, then the diagnostic results were compared with clinicd or pathology test. Results The accurate rate of localization of N-CTCP and MRCP was 100%（96/96）. The qualitative accurate rates of N-CTCP and MRCP were 94.7%（91/96） and 85.4%（82/96） separately（P=0.051）. But for malignant tumor, the qualitative accurate rate of N-CTCP or MRCP was significant different（95.0% vs 83.9%, P=0.013）. Conclusion N-CTCP can be used to observe lesions comprehensively, including morphology, density and adjacent tissue. As a preoperative screening method for obstructive jaundice, N-CTCP has the very high value in enhancing the accuracy of disease diagnosis.

关 键 词：阴性法CT胰胆管成像 磁共振胰胆管成像 梗阻性黄疸 体层摄影术 X线计算机 

分 类 号：R657.4[医药卫生—外科学]