| 磁共振胆道成像：附26例报告 |
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| 引用本文： | 夏黎明,陈荣萍.磁共振胆道成像：附26例报告[J].中华放射学杂志,1996,30(7):448-451. |
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| 作者姓名： | 夏黎明 陈荣萍 |
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| 作者单位： | 同济医科大学附属同济医院放射科 |
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| 摘 要： | 目的：用ＭＲ显示胆道狭窄部位和程度及扩张胆管。材料与方法：检查病人２６例，其中梗阻性黄疸１２例，其他病人１４例。应用快速自旋回波（ＦＳＥ）、重Ｔ２加权成像技术及三维图像后处理，对２６例病人进行３１次磁共振胆道成像（ＭＲＣ）。结果：梗阻性黄疸病人均能显示阻塞部位及扩张胆管，非梗阻性黄疸病人可显示胆总管及左右肝管起始段，胆道术后病人见肝内外胆管轻度扩张。结论：ＭＲＣ能显示胆道狭窄部位、程度及扩张的胆管，与ＭＲＩ结合能更准确地诊断胆道阻塞部位及原因，与经皮经肝胆管造影（ＰＴＣ）、内窥镜逆行胰胆管造影（ＥＲＣＰ）相比较，ＭＲＣ是诊断阻塞性黄疸的一种无创伤性方法，且安全简单。
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| 关 键 词： | 胆管阻塞.肝外 磁共振成像 评价研究 |
MRcholangiography:clinicalevaluationin26cases |
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| XiaLiming,ChenRongping,WangChengyuan,et al..MRcholangiography:clinicalevaluationin26cases[J].Chinese Journal of Radiology,1996,30(7):448-451. |
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| Authors: | XiaLiming ChenRongping WangChengyuan |
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| Institution: | XiaLiming,ChenRongping,WangChengyuan,etal.DepartmentofRadiology,TongjiHospital,TongjiMedicalUniversity,Wuhan430030 |
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| Abstract: | Purpose:Toevaluatemagneticresonanceimaging(MRC)indemonstratingthesiteandextentofbiliaryobstructionanddilatedbileducts.Materialsandmethods:26patientswith12casesofobstructivejaundiceand14casesofothercauseswereexaminedbyMRC,whichwasper-formedwithabreath-holdheavilyT2-weightedfastspin-echo(FSE)sequence.Theimageswerepostprocessedon3Dworkstationwithtargetedmaximumintensityprojection(MIP)inalcases.Re-sults:Thelevelofbiliaryobstructionandthedilatedbiliarytractwerevisualizedinalpatientswithobstructivejaundice.Theextrahepaticnormalbileductsweredemonstratedinthenonobstructivepa-tients.Threecasesofpost-choledochotomyshowedmildbiliarydilation.Conclusion:MRCcoulddemonstratethesiteandextentofbiliaryobstructionandshowthelevelandcausesofobstructionmoreaccuratelywhencombinedwithMRI,incomparisonwithPTCandERCP.MRCwasasafe,simple,andnoninvasivemethodforevaluationofpatientswithobstructivejaundice. |
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| Keywords: | Bileductobstruction extrahepaticMagneticresonanceimagingEvaluationstudies |
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