| 磁共振胰胆管成像在肝门部胆管癌分型中的诊断价值 |
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| 引用本文： | 刘影,黄寒梅,程惠敏,曾飞雁,徐运军,王昌新.磁共振胰胆管成像在肝门部胆管癌分型中的诊断价值[J].中国临床保健杂志,2008,11(4):358-359. |
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| 作者姓名： | 刘影 黄寒梅 程惠敏 曾飞雁 徐运军 王昌新 |
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| 作者单位： | 安徽医科大学附属省立医院、安徽省立医院磁共振室,合肥,230001 |
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| 摘 要： | 目的分析不同类型的肝门部胆管癌的磁共振胰胆管成像(MRCP)表现,以提高对术前分型的认识。方法参照Bismuth分型法,分析18例经手术病理证实的肝门部胆管癌的MRCP表现。进行术前分型,并与手术探查结果对照。结果MRCP分型:BismuthⅠ型5例,Ⅱ型3例,ⅢA型2例,ⅢB型6例,Ⅳ型2例。与手术结果对照,MRCP对肝门部胆管癌术前分型准确性达94.4%。结论MRCP可对肝门部胆管癌进行较准确的术前Bismuth分型,对制定手术方案具有重要参考价值。
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| 关 键 词： | 胰胆管造影术 磁共振 胆管肿瘤 诊断 鉴别 |
The Value of MRCP in typing of Hilar Cholangiocarcinoma |
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| LIU Ying,HUANG Han-mei,CHENG Hui-min,ZENG Fei-yan,XU Yun-jun,WANG Chang-xin.The Value of MRCP in typing of Hilar Cholangiocarcinoma[J].Chinese JOurnal of Clinical Healthcare,2008,11(4):358-359. |
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| Authors: | LIU Ying HUANG Han-mei CHENG Hui-min ZENG Fei-yan XU Yun-jun WANG Chang-xin |
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| Institution: | ( MR Department of Imaging Center,Anhui Provincial Hospitial,Hefei 230001, China) |
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| Abstract: | Objective To analyze the MRCP appearance of different type of hilar cholangiocarcinoma and to elevate the knowledge about the typing. Method In accordance with Bismuth＇ s typing, analysed 18 cases of hilar cholangiocarcinoma confirmed histo - pathologically and made MRCP type preoperatively. MRCP type was compared with the result of operations. Results Among the 18 cases,there were 5 cases of Bismuth Ⅰ ,3 cases of Bismuth Ⅱ,2 cases of Bismuth ⅢA,6 cases of Bismuth ⅢB and 2 cases of Bismuth Ⅳ. Compared with the result of operations, the accurancy of MRCP typing on hilar cholangiocarcinoma preoperatively was 94.4%. Conclusion MRCP can provide accurate typing of hilar cholangiocarcinoma preoperatively. This may help surgeon to make the operation plan. |
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| Keywords: | Cholangiopancreatography magnetic resonance Bile duct neoplasms Diagnosis differential |
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