CAJ | 학술논문

　　目的评估2D-MR胰胆管造影(MRCP)和平衡梯度回波(BFFE)序列联合应用对老年胆总管结石的诊断价值。材料与方法搜集2010年1月至2011年12月间进行MRCP检查≥70岁的114例怀疑胆总管结石的患者资料。由2名医师观察2D-MRCP图像，结合BFFE、T2WI评价是否存在胆总管结石。结果所有病例中MRCP能清晰显示胆道系统，114例患者中MR图像提示108例患者合并胆总管结石，6例患者无胆总管结石；手术及ERCP结果显示99例患者合并胆总管结石，15例患者无胆总管结石；对两组结果进行卡方检验差异有统计学意义(χ2=4.281，P=0.031)。结论2D-MRCP结合BFFE序列能准确获得老年患者胆总管是否存在结石的情况，具有快速、安全的特点，特别适合不合作的患者。
　　목적평고2D-MR이담관조영(MRCP)화평형제도회파(BFFE)서렬연합응용대노년담총관결석적진단개치。재료여방법수집2010년1월지2011년12월간진행MRCP검사≥70세적114례부의담총관결석적환자자료。유2명의사관찰2D-MRCP도상，결합BFFE、T2WI평개시부존재담총관결석。결과소유병례중MRCP능청석현시담도계통，114례환자중MR도상제시108례환자합병담총관결석，6례환자무담총관결석；수술급ERCP결과현시99례환자합병담총관결석，15례환자무담총관결석；대량조결과진행잡방검험차이유통계학의의(χ2=4.281，P=0.031)。결론2D-MRCP결합BFFE서렬능준학획득노년환자담총관시부존재결석적정황，구유쾌속、안전적특점，특별괄합불합작적환자。
Objective:The purpose of our study was to assess the clinical usefulness of conventional two-dimensional (2D) magnetic resonance cholangiopancreatographic (MRCP) and balance fast ifeld echo (BFFE) sequence in older patients with common bile duct stones (CBDS). Materials and Methods: MRCP preformed in 114 older patients, who with sepected CBDS, ranged from 2010-1 to 20011-12, two reviewers was present retrospectively evaluated MRCP images with 2D-MRCP, BFFE and T2-weighted MR images. The results compared with ERCP or surgical ifndings. Results:CBDS was found in 108 of 114 patients with MRI. CBDS was found in 99 of 114 patients with ERCP or surgical ifndings. The correlation of MRI and ERCP or surgical ifndings was calculated (χ2=4.281, P=0.031). Conclusions:2D-MRCP with BFFE is a safe, effective means of mamaging sepected common bile duct stones of older non-cooperative patients.