中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
20期
173-174
,共2页
磁共振胆胰管成像%低位胆系梗阻性疾病%诊断
磁共振膽胰管成像%低位膽繫梗阻性疾病%診斷
자공진담이관성상%저위담계경조성질병%진단
Magnetic resonance cholangiopancreatography%Low biliary obstructive diseases%Diagnosis
目的：分析磁共振胆胰管成像(MRCP)技术用于低位胆系梗阻性疾病临床诊断中的方式与结果。方法随机选取该院2013年8月-2014年10月收治的60例低位胆系梗阻性疾病患者，均予以规范MRCP检查，并对比病理结果。结果MRCP诊断显示梗阻部位为十二指肠乳头8例、胰管开口处2例、胆总管下端33例、Vater壶腹17例，其中胆总管下端诊断结果与病理检测结果差异有统计学意义(P<0.05)。 MRCP定性诊断结果为胆总管结石32例、胆总管癌11例、损伤后及炎性胆管狭窄2例、胆总管囊肿合并结石1例、十二指肠乳头癌2例、胰头癌12例，胆总管结石、十二指肠乳头癌、胰头癌诊断存在统计学差异(P<0.05)。结论MRCP技术的的应用可精准、无创地显示低位胆道良恶性梗阻性病变，准确率高，且无需造影剂辅助，优势众多。
目的：分析磁共振膽胰管成像(MRCP)技術用于低位膽繫梗阻性疾病臨床診斷中的方式與結果。方法隨機選取該院2013年8月-2014年10月收治的60例低位膽繫梗阻性疾病患者，均予以規範MRCP檢查，併對比病理結果。結果MRCP診斷顯示梗阻部位為十二指腸乳頭8例、胰管開口處2例、膽總管下耑33例、Vater壺腹17例，其中膽總管下耑診斷結果與病理檢測結果差異有統計學意義(P<0.05)。 MRCP定性診斷結果為膽總管結石32例、膽總管癌11例、損傷後及炎性膽管狹窄2例、膽總管囊腫閤併結石1例、十二指腸乳頭癌2例、胰頭癌12例，膽總管結石、十二指腸乳頭癌、胰頭癌診斷存在統計學差異(P<0.05)。結論MRCP技術的的應用可精準、無創地顯示低位膽道良噁性梗阻性病變，準確率高，且無需造影劑輔助，優勢衆多。
목적：분석자공진담이관성상(MRCP)기술용우저위담계경조성질병림상진단중적방식여결과。방법수궤선취해원2013년8월-2014년10월수치적60례저위담계경조성질병환자，균여이규범MRCP검사，병대비병리결과。결과MRCP진단현시경조부위위십이지장유두8례、이관개구처2례、담총관하단33례、Vater호복17례，기중담총관하단진단결과여병리검측결과차이유통계학의의(P<0.05)。 MRCP정성진단결과위담총관결석32례、담총관암11례、손상후급염성담관협착2례、담총관낭종합병결석1례、십이지장유두암2례、이두암12례，담총관결석、십이지장유두암、이두암진단존재통계학차이(P<0.05)。결론MRCP기술적적응용가정준、무창지현시저위담도량악성경조성병변，준학솔고，차무수조영제보조，우세음다。
Objective To analyze the way and results of the application of MRCP in the clinical diagnosis of obstructive disease of low biliary. Methods Select 60 patients of low biliary obstructive diseases who were treated in our hospital from August 2013 to October 2014. Gave all of them standard MRCP examination and compared the pathology results. Results The diagnosis of MRCP showed the site of obstruction and 8 cases in duodenal papillary, 2 cases in pancreatic duct openings, 33 cases in distal common bile duct, 17 cases in ampulla of Vater, wherein the clinical diagnosis results of lower common bile duct were not consistent with the pathological examination (P<0.05). The results of MRCP qualitative diagnosis is that 32 cases had common bile duct stones and 11 cases had common bile duct carcinoma and 2 cases had injury and inflammatory bile duct stricture and 1 case had com-mon bile duct cyst with calculi and 2 cases had duodenal papillary carcinoma and 12 cases had pancreatic head carcinoma. The diagnosis of common bile duct calculi, duodenal papillary carcinoma and pancreatic head carcinoma had statistical differences (P<0.05). Conclusion The application of MRCP technology can be accurate, noninvasive in displaying low benign and malignant bil-iary obstructive diseases, With high accuracy and without contrast agent assisted. It has many advantages.
