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MRCP与ERCP对低位梗阻性黄疸的诊断价值比较
引用本文:王军,刘烨,赵永生,王谦.MRCP与ERCP对低位梗阻性黄疸的诊断价值比较[J].现代中西医结合杂志,2011,20(3):265-267.
作者姓名:王军  刘烨  赵永生  王谦
作者单位:1. 吉林省长春市二道区疾病预防控制中心,吉林,长春,130031
2. 吉林大学中日联谊医院,吉林,长春,130033
3. 中南大学湘雅医学院,湖南,长沙,410000
摘    要:目的比较磁共振胰胆管造影术(MRCP)与内镜下逆行胰胆管造影术(ERCP)对低位梗阻性黄疸的诊断价值。方法选择206例梗阻部位位于胆总管十二指肠后段至十二指肠壁段的低位胆管梗阻患者作为研究对象,对其MRCP及ERCP诊断资料进行比较分析。结果 MRCP与ERCP对低位梗阻性黄疸总的定性诊断准确率分别为93.6%和93.2%,二者比较无显著性差异(P>0.05),MRCP与ERCP合并检查的诊断准确率为96.1%,与单项MRCP及ERCP检查的准确率比较无显著性差异(P均>0.05)。结论 MRCP能清晰全面地显示胆胰系统的正常结构及占位性病变;在低位胆管梗阻性疾病的诊断中,MRCP结合MR图像分析可以取代有创性的ERCP。

关 键 词:磁共振胰胆管造影术  内镜下逆行胰胆管造影术  低位梗阻性黄疸

Comparative Study on the value of magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography in diagnosing of lower obstructive jaundice
Wang Jun,Liu Ye,Zhao Yongshen,Wang Qian.Comparative Study on the value of magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography in diagnosing of lower obstructive jaundice[J].Modern Journal of Integrated Chinese Traditional and Western Medicine,2011,20(3):265-267.
Authors:Wang Jun  Liu Ye  Zhao Yongshen  Wang Qian
Institution:Wang Jun1,Liu Ye1,Zhao Yongshen2,Wang Qian3(1.The Disease Control Center and Prevention of Er Dao District in Changchun,Changchun 130031,Jilin,China,2.China-Japan Union Hospital of Jilin University,Changchun 130033,3.Xiangya Medical School of Central South University,Changsha 410000,Hunan,China)
Abstract:Objective It is to compare the value of magnetic resonance cholangiopancreatography(MRCP) and endoscopic retrograde cholangiopancreatography(ERCP) in diagnosis of lower obstructive jaundice.Methods 206 patients with lower obstructive jaundice were selected to study.The image features of MRCP and ERCP were retrospectively analyzed and contrasted respectively.Results The overall accuracy rate of MRCP and ERCP in diagnosis of lower obstructive jaundice was 93.6% and 93.2%,there was no significant difference be...
Keywords:magnetic resonance cholangiopancreatography  endoscopic retrograde cholangiopancreatography  lower obstructive jaundice  
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