实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
Practical Journal of Clinical Medicine
2015年
6期
107-108,109
,共3页
磁共振%胰胆管造影术%体层摄影术%梗阻性黄疸
磁共振%胰膽管造影術%體層攝影術%梗阻性黃疸
자공진%이담관조영술%체층섭영술%경조성황달
Magnetic resonance%Cholangiopancreatography%Tomography%Obstructive jaundice
目的：比较磁共振胰胆管造影（ magnetic resonance cholangiopancreatography，MRCP）与螺旋CT对恶性梗阻性黄疸的诊断价值。方法83例临床确诊的恶性梗阻性黄疸患者，均行上腹部64层螺旋CT扫描及MRCP检查，将影像诊断与病理结果进行对照分析。结果83例恶性梗阻性黄疸中壶腹癌34例，胰头癌18例，胆管癌26例，胆囊癌5例。 MRCP和CT对梗阻水平诊断的符合率均为100％；良、恶定性诊断的符合率分别为96.4％和91.6％，差异无统计学意义（ P＞0.05）；梗阻原因的诊断符合率分别为92.8％和78.3％，差异有统计学意义（P＜0.05）。结论 MRCP和CT均是恶性梗阻性黄疸患者术前评估的可靠、安全、无创的检查手段，前者在推断梗阻原因方面更有优势，CT则快速、方便，在临床上应结合患者的实际情况进行选择。
目的：比較磁共振胰膽管造影（ magnetic resonance cholangiopancreatography，MRCP）與螺鏇CT對噁性梗阻性黃疸的診斷價值。方法83例臨床確診的噁性梗阻性黃疸患者，均行上腹部64層螺鏇CT掃描及MRCP檢查，將影像診斷與病理結果進行對照分析。結果83例噁性梗阻性黃疸中壺腹癌34例，胰頭癌18例，膽管癌26例，膽囊癌5例。 MRCP和CT對梗阻水平診斷的符閤率均為100％；良、噁定性診斷的符閤率分彆為96.4％和91.6％，差異無統計學意義（ P＞0.05）；梗阻原因的診斷符閤率分彆為92.8％和78.3％，差異有統計學意義（P＜0.05）。結論 MRCP和CT均是噁性梗阻性黃疸患者術前評估的可靠、安全、無創的檢查手段，前者在推斷梗阻原因方麵更有優勢，CT則快速、方便，在臨床上應結閤患者的實際情況進行選擇。
목적：비교자공진이담관조영（ magnetic resonance cholangiopancreatography，MRCP）여라선CT대악성경조성황달적진단개치。방법83례림상학진적악성경조성황달환자，균행상복부64층라선CT소묘급MRCP검사，장영상진단여병리결과진행대조분석。결과83례악성경조성황달중호복암34례，이두암18례，담관암26례，담낭암5례。 MRCP화CT대경조수평진단적부합솔균위100％；량、악정성진단적부합솔분별위96.4％화91.6％，차이무통계학의의（ P＞0.05）；경조원인적진단부합솔분별위92.8％화78.3％，차이유통계학의의（P＜0.05）。결론 MRCP화CT균시악성경조성황달환자술전평고적가고、안전、무창적검사수단，전자재추단경조원인방면경유우세，CT칙쾌속、방편，재림상상응결합환자적실제정황진행선택。
Objective To compare the diagnostic value of MRCP with CT in patients with malignant obstructive jaundice. Methods The clinical and imaging data of 83 patients with malignant obstructive jaundice were analyzed retrospectively.All the pa-tients underwent both MRI-MRCP and CT examinations,and the two diagnostic methods were compared according to results of surgical pathology biopsy.Results Of the 83 patients,34 cases were identified as ampullary carcinoma,18 cases were carcinoma of head of pancreas,26 cases were carcinoma of bile duct and 5 cases were gallbladder cancer.Both MRCP and CT correctly define the level of ob-struction in all cases (100%).MRCP and CT could differentiate benign from malignant obstructions in 96.4%and 91.6%of the total cases,respectively.There was no significant difference between the two methods(P >0.05).MRCP correctly proposed the most possi-ble cause of obstruction in 92.8%of cases,while CT correctly suggested the most possible cause in only 78.3%.The difference was statistically significant ( P<0.05) .Conclusion Both MRCP and CT are useful as a non-invasive method in preoperative evaluation of patients with malignant obstructive jaundice.In addition,MRCP is superior to CT in diagnosing the cause of disease.CT scan is fast and convenient.Therefore,the choice should be made according to the clinical needs.
