CAJ | 학술논문

目的：探讨 MRCP 联合 CT 或 MRI 增强扫描在胆道梗阻中的定位及定性诊断的价值。方法收集本院经手术病理及临床随访确诊胆道梗阻患者954例,所有患者均进行 MRCP 检查,其中87例患者进行 CT 增强扫描,52例患者进行 MRI 增强扫描,37例患者同时进行 CT 及 MRI 增强扫描。结果MRCP 定位诊断的准确率为100%,MRCP 联合 CT 或 MRI 增强扫描病灶定性诊断的准确率为96%。结论MRCP 联合 CT 或 MRI 增强扫描对胆道梗阻的定位及定性诊断具有重要临床价值。
목적：탐토 MRCP 연합 CT 혹 MRI 증강소묘재담도경조중적정위급정성진단적개치。방법수집본원경수술병리급림상수방학진담도경조환자954례,소유환자균진행 MRCP 검사,기중87례환자진행 CT 증강소묘,52례환자진행 MRI 증강소묘,37례환자동시진행 CT 급 MRI 증강소묘。결과MRCP 정위진단적준학솔위100%,MRCP 연합 CT 혹 MRI 증강소묘병조정성진단적준학솔위96%。결론MRCP 연합 CT 혹 MRI 증강소묘대담도경조적정위급정성진단구유중요림상개치。
Objective To investigate the value of MRCP in conjunction with CT or MRI contrast-enhanced scan in locating and qualitative diagnosis of biliary obstruction.Methods 954 patients with biliary obstruction confirmed by surgical pathology and clini-cal follow up underwent MRCP scans in our hospital.Contrast-enhanced CT scans in 87 patients,contrast-enhanced MRI scans in 52 and both CT and MRI enhancement in 37 were performed.Results The accuracy of location of biliary obstruction with MRCP was 100%,the accuracy of quality of biliary obstruction with MRCP combined with CT or MRI dynamic contrast-enhanced scan was 96%.Conclusion MRCP combined with CT or MRI dynamic contrast-enhanced scans has an important clinical value for the locali-zation and qualitative diagnosis of biliary obstruction.