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MRCP和US对肝外胆管病变诊断价值的对照研究
引用本文:马隆佰. MRCP和US对肝外胆管病变诊断价值的对照研究[J]. 医学影像学杂志, 2005, 15(1): 22-24
作者姓名:马隆佰
作者单位:广西壮族自治区人民医院放射科,广西,南宁,530021
摘    要:目的 :比较磁共振胆胰管水成像 (MRCP)和超声 (US)对胆总管病变的诊断价值 ;方法 :分析MRCP和US对 2 4例胆总管病变 (12例胆总管结石 ;12例胆总管肿瘤或肿瘤性病变 )诊断的敏感性和特异性。结果 :MRCP和US对 12例胆总管结石的诊断敏感性和特异性分别为 10 0 % (12 /12 )和 92 7% (11/12 ) ;对胆总管肿瘤或肿瘤性病变 ,MRCP诊断的敏感性和特异性为 10 0 % (12 /12 ) ;US的敏感性和特异性分别为 75 % (9/12 )和 75 % (9/12 )。结论 :MRCP和US诊断胆总管结石的敏感性和特异性差异无显著性意义 ;对胆总管下段肿瘤或肿瘤性病变MRCP优于US。

关 键 词:胆总管  结石  肿瘤  磁共振成像  超声检查
文章编号:1006-9011(2005)01-0022-03
修稿时间:2004-07-26

Comparable study of clinical value of MRCP and US in the diagnosis of common bile duct lesion
MA Long-bai. Comparable study of clinical value of MRCP and US in the diagnosis of common bile duct lesion[J]. Journal of Medical Imaging, 2005, 15(1): 22-24
Authors:MA Long-bai
Affiliation:MA Long bai.Department of Diagnostic Radiology,The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021 China
Abstract:Objective:To compare the value of magnetic resonance cholangiopancreatography(MRCP) and ultrasound (US) in the diagnosis of common bile duct lesions.Methods:The sensitivity and specificity of MRCP and US in the diagnosis of 24 patients with common bile duct disease were evaluated.12 patients with common bile duct stone and 12 patients with common bile duct tumor or tumor like lesion were proven pathologically and surgically.Results:The sensitivity and specificity of MRCP in the diagnosis of common bile duct stone and tumor or tumor like lesion all were 100%(12/12),and those of US were 92 7%(11/12),75%(9/12) respectively.Conclusion:MRCP and US had no significantly difference in the sensitivity and specificity in the diagnosis of common bile duct stone,but MRCP was supper to US in the diagnosis of the lower portion of common bile duct tumor.
Keywords:Common bile duct  Stone  Tumor  Magnetic resonance imaging  Ultasonography
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