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MCT、MRI诊断急性胰腺炎价值比较
引用本文:赵昕,王丽英,张永欣,田新华. MCT、MRI诊断急性胰腺炎价值比较[J]. 中国实验诊断学, 2009, 13(2): 211-214
作者姓名:赵昕  王丽英  张永欣  田新华
作者单位:1. 长春拖拉机厂职工医院,内科,吉林,长春130031
2. 吉林大学第二医院,消化科,吉林,长春130041
3. 吉林大学第二医院,图书馆,吉林,长春130041
4. 吉林大学第二医院,放射线科,吉林,长春130041
摘    要:目的探讨MCT与MRI影像检查对急性胰腺炎(包括急性胆源性胰腺炎)的诊断价值,为急性胰腺炎的影像学诊断提供依据。方法对2005年1月至2007年12月本院住院的164例急性胰腺炎(包括急性胆源性胰腺炎)患者的MCT及MRI检查结果进行综合对比分析。结果MRI对急性胰腺炎诊断的阳性率为89%,MCT的阳性率为88.4%,二者比较差异无显著性(P〉0.05);MRI(MRCP)对急性胆源性胰腺炎诊断的阳性率为72.4%,MCT的阳性率为53.1%,二者比较差异无显著性(P〉0.05)。结论MCT及MRI均对急性胰腺炎的诊断有重要意义,但MRI(MRCP)对急性胰腺炎病因的诊断价值较高。

关 键 词:急性胰腺炎  急性胆源性胰腺炎  体层摄影术  X线计算机  磁共振成像  磁共振胰胆管成像

Evaluation of multi-slice CT and magnetic resonance imaging in the diagnosis of acute pancreatitis
Affiliation:ZHAO Xin, WANG Li-ying,ZHANG Yong-xin,et al. ( 1. Dept. of Medicine. The Worker's Hospital of Tractor Factory, Changchun 130031; The Second Hospital of Jilin University , Changchun 130041, China;2. Dept. of Gastroenterology ;3. Library)
Abstract:Objective To evaluate the diagnostic value of multi-slice CT and magnetic resonance imaging in acute panereatifis (including acute biliary panereafifis.Methods Image data of 164 patients who were treated in our hospital for acute pancreatitis(include acute biliary pancreatitis) during January 2005 to December 2007 were analyzed retrospectively. The diagnostic results of multislice CT and magnetic resonance imaging were compared. Results The positive rate of malefic resonance imaging (magnetic resonance cholangiopancreatography) was 89% for the dianosis of acute pancreafifis, and that of multi-slice CT was 88.4%. There was no statistic significance between the two figures;The positive rate of magnetic resonance imaging was 72.4% for acute biliary panereatitis, and that of multi-slice CT was 53.1%. There was no statistic significance between the two figures too. Conclusion Multi-slice CT and magnetic resonance imaging play very important role in the diagnosis of acute pancreatitis. But Diagnostic value of magnetic resonance imaging (magnetic resonance cholangiopancreatngraphy) was higher than that of CT for acute biliary pancreafitis.
Keywords:Acute panereatitis  Acute biliary pancreatitis  X-ray computed tomngraphy  magnetic resonance imaging  Magnetic resonance eholangiopancreato graphy.
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