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良性梗阻性黄疸的MRCP影像分析
引用本文:刘玉品,杨小庆,高修成,储成凤,杨爱玲.良性梗阻性黄疸的MRCP影像分析[J].实用放射学杂志,2004,20(8):706-709.
作者姓名:刘玉品  杨小庆  高修成  储成凤  杨爱玲
作者单位:1. 东南大学附属中大医院,放射科,江苏,南京,210009
2. 东南大学附属中大医院,病案室,江苏,南京,210009
摘    要:目的 探讨MRCP对良性梗阻性黄疸的临床定性诊断价值。方法 用Philips 1.5T超导型磁共振成像仪对 12 8例良性梗阻性黄疸患者进行常规MRI及MRCP检查。 12 3例经手术或ERCP病理证实 ,5例临床随访证实。结果 MRCP对良性梗阻性黄疸定位诊断准确率 10 0 % ,定性诊断准确率 90 .6%。枯枝征在良性梗阻性黄疸中特异性 10 0 %、准确性 95 .3 %、敏感性 85 .7%。结论 MRCP在良性梗阻性黄疸中的定性诊断中枯枝征可作为一种特异性征象

关 键 词:磁共振成像  胰胆管造影  梗阻性黄疸  良性
文章编号:1002-1671(2004)08-0706-04
修稿时间:2003年9月22日

Image Analysis of Benign Obstructive Jaundice on MRCP
LIU Yu-pin,YANG Xiao-qing,GAO Xiu-cheng,CHU Cheng-feng,YANG Ai-ling.Image Analysis of Benign Obstructive Jaundice on MRCP[J].Journal of Practical Radiology,2004,20(8):706-709.
Authors:LIU Yu-pin  YANG Xiao-qing  GAO Xiu-cheng  CHU Cheng-feng  YANG Ai-ling
Abstract:Objective To investigate the qualitative diagnostic value of MRCP in patients with benign obstructive jaundice.Methods MRCP and conventional MR images were performed in 128 patients with benign obstructive jaundice on a superconductive MR scanner (Plilips medical systems Inc. Eclipse. 1.5T) . Final diagnosis was confirmed by surgical and histopathological findings in 123 patients and other 5 patients by follow-up.Results The accuracy of location diagnosis of MRCP was 100%; the qualitative diagnosis was 95.3%. The specificity, accuracy, sensitivity of the deadwood-sign for diagnosis of benign obstructive jaundice were 100%, 95.3%, 85.7% respectively. Conclusion The deadwood-sign was a specific indicator in MRCP of benign obstructive jaundice.
Keywords:magnetic resonance imaging  cholangiopancreatography  obstructive jaundice  benign
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