CAJ | 학술논문

目的：：探讨磁共振胰胆管造影术( MRCP )在低位梗阻性黄疸中的诊断价值及其与内镜下逆行胰胆管造影术( ERCP )的比较。方法：选取本院2011年至2013年82例低位梗阻性黄疸患者,将其随机分为对照组和实验组,其中对照组使用ERCP ,实验组使用MRCP ,观察并比较两组患者的诊断准确率,并发症,淀粉酶水平和脂肪酶水平。结果：对照组诊断准确率为93.90%,而实验组诊断准确率为95.12%,组间比较差异不显著(χ2=3.902,P>0.05)；对照组脂肪酶和淀粉酶水平均明显高于实验组,组间比较差异显著(t=25.232,23.184；P<0.05)；对照组并发症发生率为41.46%,而实验组无并发症,组间比较差异显著(χ2=18.036,P<0.05)。结论：低位梗阻性黄疸的诊断首选MRCP,可结合ERCP进行确诊。
목적：：탐토자공진이담관조영술( MRCP )재저위경조성황달중적진단개치급기여내경하역행이담관조영술( ERCP )적비교。방법：선취본원2011년지2013년82례저위경조성황달환자,장기수궤분위대조조화실험조,기중대조조사용ERCP ,실험조사용MRCP ,관찰병비교량조환자적진단준학솔,병발증,정분매수평화지방매수평。결과：대조조진단준학솔위93.90%,이실험조진단준학솔위95.12%,조간비교차이불현저(χ2=3.902,P>0.05)；대조조지방매화정분매수평균명현고우실험조,조간비교차이현저(t=25.232,23.184；P<0.05)；대조조병발증발생솔위41.46%,이실험조무병발증,조간비교차이현저(χ2=18.036,P<0.05)。결론：저위경조성황달적진단수선MRCP,가결합ERCP진행학진。
Objective:To investigate the diagnostic value of magnetic resonance cholangiopancreatogra-phy ( MRCP ) versus endoscopic retrograde cholangiopancreatography ( ERCP ) prospectively in detection of low-set obstructive jaundice. Method: 82 patients with low-set obstructive jaundice in our hospital from 2011 to 2013 were randomly divided into control group and experimental group. And the control group was used ERCP, while the experimental group was used MRCP, and then observed the diagnostic accuracy, complications, amylase and lipase levels between two groups. Result:There was no significant difference in the accuracy rate of diagnosis between MRCP and ERCP (χ2=3.902, P>0.05). Levels of amylase and li-pase in the control group were higher than the experimental group ( t=25.232, 23.184;P<0.05) . Complica-tion caused by ERCP were more than those by MRCP (χ2=18.036, P<0.05). Conclusion: Patients sus-pected to be suffered from low-set obstructive jaundice should be examined by MRCP to confirm firstly, and then further to be examined by ERCP if necessary.