中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
12期
1-4,8
,共5页
Mirizzi综合征%Fiesta%MRCP%诊断
Mirizzi綜閤徵%Fiesta%MRCP%診斷
Mirizzi종합정%Fiesta%MRCP%진단
Mirizzi syndrome%Fiesta%MRCP%Diagnosis
目的：探讨磁共振Fiesta序列联合MRCP对Mirizzi综合征的诊断价值。方法回顾性分析2010年6月~2014年4月在我院行术前MR检查并经手术病理证实的Mirizzi综合征18例，对Mirizzi综合征在Fiesta、MRCP上的各种征象进行分析并与手术结果进行对照，比较Fiesta联合MRCP与单独用Fiesta及MRCP检查对Mirizzi综合征的诊断准确率。结果18例Mirizzi综合征中，Ⅰ型15例，Ⅱ型3例。18例均可见胆囊颈部或胆囊管结石，肝总管受压16例，Calot三角结构不清11例。 Fiesta联合MRCP对于Mirizzi综合征诊断的准确率明显高于单独使用Fiesta及MRCP，二者有显著性差异(P<0.05)，与手术有高度的一致性。结论 Fiesta联合MRCP对于Mirizzi综合征的术前诊断具有较高价值。
目的：探討磁共振Fiesta序列聯閤MRCP對Mirizzi綜閤徵的診斷價值。方法迴顧性分析2010年6月~2014年4月在我院行術前MR檢查併經手術病理證實的Mirizzi綜閤徵18例，對Mirizzi綜閤徵在Fiesta、MRCP上的各種徵象進行分析併與手術結果進行對照，比較Fiesta聯閤MRCP與單獨用Fiesta及MRCP檢查對Mirizzi綜閤徵的診斷準確率。結果18例Mirizzi綜閤徵中，Ⅰ型15例，Ⅱ型3例。18例均可見膽囊頸部或膽囊管結石，肝總管受壓16例，Calot三角結構不清11例。 Fiesta聯閤MRCP對于Mirizzi綜閤徵診斷的準確率明顯高于單獨使用Fiesta及MRCP，二者有顯著性差異(P<0.05)，與手術有高度的一緻性。結論 Fiesta聯閤MRCP對于Mirizzi綜閤徵的術前診斷具有較高價值。
목적：탐토자공진Fiesta서렬연합MRCP대Mirizzi종합정적진단개치。방법회고성분석2010년6월~2014년4월재아원행술전MR검사병경수술병리증실적Mirizzi종합정18례，대Mirizzi종합정재Fiesta、MRCP상적각충정상진행분석병여수술결과진행대조，비교Fiesta연합MRCP여단독용Fiesta급MRCP검사대Mirizzi종합정적진단준학솔。결과18례Mirizzi종합정중，Ⅰ형15례，Ⅱ형3례。18례균가견담낭경부혹담낭관결석，간총관수압16례，Calot삼각결구불청11례。 Fiesta연합MRCP대우Mirizzi종합정진단적준학솔명현고우단독사용Fiesta급MRCP，이자유현저성차이(P<0.05)，여수술유고도적일치성。결론 Fiesta연합MRCP대우Mirizzi종합정적술전진단구유교고개치。
Objective To explore the diagnostic value of magnetic resonance Fiesta sequence combined with MRCP for Mirizzi syndrome. Methods Retrospective analysis was carried out for 18 patients who received MR examination before surgery in our hospital from June 2010 to April 2014 and were diagnosed as Mirizzi syndrome by surgical pathology. Various signs of Mirizzi in Fiesta and MRCP were analyzed and compared with surgical results. Diagnostic accuracy was compared between the combined use of Fiesta and MRCP and the use of Fiesta or MRCP alone. Results Among 18 patients with Mirizzi, 15 were type Ⅰ and 3 were type II. Calculi in gallbladder neck or cystic duct could be seen in all the 18 patients, common bile duct under pressure could be seen in 16 patients and unclear Calot triangle structure could be seen in 11 patients. Accuracy of Fiesta combined with MRCP for the diagnosis of Mirizzi syndrome was sig-nificantly higher than that of Fiesta or MRCP alone, and the differences were statistically significant (P<0.05). It was highly consistent with the surgical results. Conclusion Fiesta combined with MRCP has relatively high value for pre-operative diagnosis of Mirizzi syndrome.
