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目的:通过临床观察探讨肝外胆管癌的常规磁共振和磁共振胆胰管影像表现和临床应用价值。方法:随机选取于2014年8月至2015年8月在我院接受手术治疗并经过病理证实的肝外胆管癌患者60例,并对其进行常规的MRCP检查,在这60例肝外胆管梗阻性疾病患者中,肝外胆结石患者有35例,恶性胆管梗阻为25例,综合分析MRCP影像学表现,并且对不同的诊断结果进行合理的诊断,并且将诊断结果与手术的病理结果进行分析对照。结果:这60例肝外胆管梗阻性疾病患者的MPCP检查均一次成功,而且58例胆胰管显示满意,胆胰管满意率高达96.7%。采用MRCP对肝胆外结石和肝外胆管梗阻分别进行检测,其都具有较高的检测率。结论:在肝外胆管梗阻性疾病的临床诊断过程中,磁共振胆胰管造影(MRCP)是一种值得使用的检测技术,MRCP的检成功率也不断提高。再加上原始图像的使用和常规的MRI扫描,肝外胆管结石和恶性胆管梗阻的定性诊断的准确性也不断提高,值得医学上推广。
Objective: To investigate the clinical manifestations and clinical value of routine magnetic resonance and MR cholangiopancreatography in extrahepatic cholangiocarcinoma by clinical observation. Methods: Sixty patients with extrahepatic cholangiocarcinoma undergoing surgical treatment in our hospital from August 2014 to August 2015 were selected randomly and routinely underwent MRCP examination. Of the 60 patients with extrahepatic bile duct obstruction Among the patients with STDs, 35 cases had extrahepatic gallstones and 25 cases had malignant biliary obstruction. MRCP imaging was analyzed comprehensively, and different diagnostic results were reasonably diagnosed. The diagnostic results were also analyzed with the pathological findings of the operation Control. Results: All 60 cases of extrahepatic bile duct obstructive disease were successfully treated with MPCP. 58 cases of bile duct and pancreatic duct showed satisfactory results, and the satisfaction rate of bile duct and pancreatic duct was as high as 96.7%. The use of MRCP of hepatolithiasis and extrahepatic bile duct obstruction were detected, which have a higher detection rate. Conclusion: Magnetic resonance cholangiopancreatography (MRCP) is a valuable technique in the clinical diagnosis of extrahepatic bile duct obstructive diseases. The success rate of MRCP is also increasing. Combined with the use of original images and conventional MRI scans, the accuracy of qualitative diagnosis of extrahepatic bile duct stones and malignant bile duct obstruction has been continuously improved, which is worth to be popularized in medicine.