磁共振胰胆管成像在胆总管结石方面的临床应用价值  

Clinical Value of Magnetic Resonance Cholangiopancreatography in the Detection and Management of Choledocholithiasis

作　　者：周晓初[1] 刘汉桥[1] 刘鹏程[1] 熊沛[1] 付江华[1] 周汉新[1] 

机构地区：[1]北京大学深圳医院腔镜外科中心,广东深圳518036

出　　处：《中国医学影像技术》2003年第8期1070-1071,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨磁共振胰胆管成像 (MRCP)在胆石症病人中的临床应用价值。方法　通过对 87例术前行MRCP检查的胆石症病人和 66例术前未行MRCP检查的胆石症病人的对比研究 ,比较两组术后胆道残石的发生率和胆道阴性探查率。结果　发现在有胆道相对探查指征的病人中 ,术前MRCP检查的阴性率为 2 3 % ,术后残石率为 1.5 % ,胆道阴性探查率为 0 ;而未行MRCP检查的胆石症病人的残石率为 9.1% ,胆道阴性探查率为 18.2 %。结论　术前MRCP检查可降低胆道阴性探查率 ,避免不必要的胆道探查 ,还可降低胆道残石发生率。Objective To determine the value of magnetic resonance cholangiopancreatography (MRCP) in the detection and management of choledocholithiasis. Methods A comparative study was conducted between 2 groups of patients who had common bile duct exploration (CBDE) indications. MRCP was performed prior to operation in 87 patients of group A. Sixty six cases in group B didn't accept MRCP but CBDE. Results The stone negative rate (patients avoided unnecessary CBDE), CBDE negative rate and residual stone rate were 23%,0, and 1.5% respectively in group A. While in group B, the CBDE negative rate and residual stone rate were 18.2% and 9.1% respectively. Conclusion MRCP is beneficial to reducing negative rate of CBDE, avoiding unnecessary CBDE, and reducing residual stone rate after operation for cholelithiasis.

关 键 词：磁共振胆胰管成像 胆石症 胆总管探查 临床应用 

分 类 号：R445.2[医药卫生—影像医学与核医学] R575.62[医药卫生—诊断学]