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目的探讨磁共振胆胰管成像(magnetic resonance cholangiopancreatog-raphy,MRCP)对阻塞性黄疸病因的临床诊断应用价值。方法对进行MRCP及逆行胰胆管造影(endoscopic retrograde cholangiopancreatog-raphy,ERCP)的47例患者进行回顾性分析,对检查结果进行对比。结果 47例进行磁共振胆胰管成像检查均获成功,诊断结果与ERCP结果有42例为一致;其中:33例胆管及胆囊结石,占78.6%。胆管恶性病变阻塞6例,占14.3%,3例胆管癌,1例胆胰壶腹癌,2例胰头癌(均有术后获得病理证实)。结论 MRCP可提供良好的胆胰系整体图像,对阻塞性黄疸的病变诊断效果好,具有无创性、无损伤的优势,易于被老年、体弱患者接受。MRCP可为阻塞性黄疸病因诊断提供可靠的临床诊断依据。
Objective To investigate the clinical value of magnetic resonance cholangiopancreatog-raphy (MRCP) in the diagnosis of obstructive jaundice. Methods Retrospective analysis of 47 patients undergoing MRCP and ERCP was performed, and the results of the examination were compared. Results All 47 cases were successful in MRCP examination. The diagnosis was consistent with ERCP in 42 cases. Among them, 33 cases had bile duct and gallbladder stones accounting for 78.6%. Malignant lesions of biliary obstruction in 6 cases, accounting for 14.3%, 3 cases of cholangiocarcinoma, 1 case of bile pancreatic ampullary carcinoma, 2 cases of pancreatic cancer (pathologically confirmed after surgery). Conclusion MRCP can provide a good overall image of gallbladder and pancreas, the diagnosis of obstructive jaundice lesions with good non-invasive, non-invasive advantages, easy to be elderly and frail patients. MRCP can provide a reliable basis for clinical diagnosis of obstructive jaundice.