CAJ | 학술논문

目的：比较MRCP与T管造影对胆道术后拔除T管的作用与影响。方法回顾分析2009年1月至2011年6月胆道术后留置T管引流的248例患者拔除T管前的临床资料，其中T管造影组195例，MRCP检查组53例，分析T管造影组与MRCP检查组的作用、毒副反应和延长住院时间的影响，探讨MRCP在胆道术后拔除T管前的诊断作用与影响。结果2组患者检查均获成功，都获得清晰完整的胆管图像。与T管造影组相较， MRCP组53例均得到准确的诊断结果，无假阳性结果出现，无不良反应发生，不延长患者住院时间。结论MRCP可替代T管造影作为拔除T管前的诊断手段。
목적：비교MRCP여T관조영대담도술후발제T관적작용여영향。방법회고분석2009년1월지2011년6월담도술후류치T관인류적248례환자발제T관전적림상자료，기중T관조영조195례，MRCP검사조53례，분석T관조영조여MRCP검사조적작용、독부반응화연장주원시간적영향，탐토MRCP재담도술후발제T관전적진단작용여영향。결과2조환자검사균획성공，도획득청석완정적담관도상。여T관조영조상교， MRCP조53례균득도준학적진단결과，무가양성결과출현，무불량반응발생，불연장환자주원시간。결론MRCP가체대T관조영작위발제T관전적진단수단。
Objective To compare the function and influence of magnetic resonance cholangiopancreatography (MRCP) and T tube cholangiography before pulling out T tube after biliary tract surgery. Methods Clinical data from 248 patients with T tube drainage after biliary tract surgery bewteen January 2009 and June 2011 were retrospectively analyzed.Among them, the T tube cholangiography group was 195 cases, and MRCP group was 53 cases.Analyzed the function, the toxic side reaction and effect of prolonged hospitalization time of T tube cholangiography group and MRCP group,and discussed the diagnostic effect of MRCP before pulling out T tube after biliary tract surgery.Results Two groups of patients got distinct and integrated image of the bile ducts all.Compared with T tube cholangiography group, all 53 cases patients of MRCP group got accurate of diagnosis results, no fake positive results and adverse reaction occurred, and no prolonged hospitalization. Conclusion MRCP can replace T tube cholangiography as a means of diagnosis before removal of T tube.