西南国防医药
西南國防醫藥
서남국방의약
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN SOUTHWEST CHINA
2015年
6期
633-635
,共3页
低位胆道梗阻%MRCP%T2WI%磁共振%诊断
低位膽道梗阻%MRCP%T2WI%磁共振%診斷
저위담도경조%MRCP%T2WI%자공진%진단
obstruction of lower biliary tract%MRCP%T2WI%magnetic resonance%diagnosis
探讨2D-MRCP、3D-MRCP及横断位、冠状位T2WI联合应用对低位胆道梗阻的诊断价值。收集我院近3年110例经磁共振检查(2D-MRCP、3D-MRCP及横断位、冠状位T2WI)，并经临床诊断或手术病理证实为低位胆道梗阻病例，将影像诊断结果与临床、病理诊断结果进行回顾性对照分析。2D-MRCP、3D-MRCP及横断位、冠状位T2WI联合应用对低位胆道梗阻定位诊断准确率为100.0%，定性诊断准确率为90.9%。MRCP是胆道疾病无创性诊断的最佳选择，2D-MRCP、3D-MRCP及横断位、冠状位T2WI联合应用，对低位胆道梗阻的诊断具有极高的准确性，可为临床诊疗提供可靠依据。
探討2D-MRCP、3D-MRCP及橫斷位、冠狀位T2WI聯閤應用對低位膽道梗阻的診斷價值。收集我院近3年110例經磁共振檢查(2D-MRCP、3D-MRCP及橫斷位、冠狀位T2WI)，併經臨床診斷或手術病理證實為低位膽道梗阻病例，將影像診斷結果與臨床、病理診斷結果進行迴顧性對照分析。2D-MRCP、3D-MRCP及橫斷位、冠狀位T2WI聯閤應用對低位膽道梗阻定位診斷準確率為100.0%，定性診斷準確率為90.9%。MRCP是膽道疾病無創性診斷的最佳選擇，2D-MRCP、3D-MRCP及橫斷位、冠狀位T2WI聯閤應用，對低位膽道梗阻的診斷具有極高的準確性，可為臨床診療提供可靠依據。
탐토2D-MRCP、3D-MRCP급횡단위、관상위T2WI연합응용대저위담도경조적진단개치。수집아원근3년110례경자공진검사(2D-MRCP、3D-MRCP급횡단위、관상위T2WI)，병경림상진단혹수술병리증실위저위담도경조병례，장영상진단결과여림상、병리진단결과진행회고성대조분석。2D-MRCP、3D-MRCP급횡단위、관상위T2WI연합응용대저위담도경조정위진단준학솔위100.0%，정성진단준학솔위90.9%。MRCP시담도질병무창성진단적최가선택，2D-MRCP、3D-MRCP급횡단위、관상위T2WI연합응용，대저위담도경조적진단구유겁고적준학성，가위림상진료제공가고의거。
To explore the value of 2D-MRCP and 3D-MRCP combined with axial and coronal T2WI in diagnosis of obstruction of lower biliary tract. Total 110 patients who received MRI examinations (2D-MRCP, 3D-MRCP, axial T2WI and coronal T2WI) and were definitely diagnosed with obstruction of lower biliary tract in clinical diagnosis or by operative pathology in our hospital in recent three years were selected. A retrospective contrast analysis was made on the results of imaging and pathologic diagnosis. The localization diagnosis accuracy of 2D-MRCP and 3D-MRCP combined with axial and coronal T2WI for obstruction of lower biliary tract was 100.0%, while the qualitative diagnosis acc uracy was 90.9%. MRCP is the best option for non-invasive diagnosis of biliary tract diseases. The accuracy of 2D-MRCP and 3D-MRCP combined with axial and coronal T2WI in diagnosis of obstruction of lower biliary tract is very high and can provide a reliable basis for the clinical diagnosis and therapy.
