论文部分内容阅读
目的 :探索核磁共振胰胆管造影 (MRCP)检查在临床应用中的价值。方法 :对 110例胰胆管疾病患者选择性地行MRCP检查 ,并与内镜下逆行胰胆管造影 (ERCP)检查作比较 ,结合内镜下治疗以及外科手术 ,以明确两者之间的相关性。ERCP和手术结果作为金标准。结果 :110例患者MRCP图像质量均较高 ,对胆管扩张诊断的敏感性为 85 .0 6 % ( 78/ 87) ,对胆管下段狭窄伴扩张诊断的敏感性为 90 % ( 18/ 2 0 )。MRCP图像提示 2 0例正常胆管 ,其特异性为10 0 % ,对胰管扩张诊断的敏感性为 5 3.33% ( 16 / 30 )。结论 :MRCP在胰胆疾病的估价方面具有高敏感性和特异性 ,胆道病优于胰腺病 ,且无创伤性 ,可作为常规的胰胆疾病的诊断手段。
Objective: To explore the value of magnetic resonance cholangiopancreatography (MRCP) in clinical application. Methods: Selective MRCP was performed in 110 patients with pancreaticobiliary diseases and compared with endoscopic retrograde cholangiopancreatography (ERCP), combined with endoscopic treatment and surgical procedures to clarify the correlation between the two . ERCP and surgical results as the gold standard. Results: All the 110 patients had higher MRCP images and a sensitivity of 85.06% (78/87) for the diagnosis of biliary dilatation. The sensitivity of 90 cases was 90% (18/20) for the diagnosis of stenosis and dilatation of the lower bile duct. . MRCP images suggest 20 cases of normal bile duct, the specificity was 10%, the sensitivity of the diagnosis of pancreatic duct dilatation was 5 3.33% (16/30). CONCLUSION: MRCP is highly sensitive and specific in the evaluation of pancreaticobiliary diseases. Biliary disease is superior to pancreatic disease and is non-invasive. It can be used as a diagnostic tool for routine pancreaticobiliary diseases.