CAJ | 학술논문

目的：探讨磁共振胰胆管成像（MRCP）技术在胆道结石诊断中的应用价值。方法回顾性分析2012年3月～2012年8月于我院经内镜下逆行胰胆管造影术（ERCP）确诊的60例胆道结石患者的MRCP资料。结果 ERCP共发现肝外胆管结石19例，肝内胆管结石12例，肝内外结石29例；MRCP共发现肝外胆管结石19例，肝内胆管结石10例，肝内外结石27例，漏诊4例，诊断符合率为93.3%，漏诊率为6.7%。结论 MRCP诊断胆道结石具有安全、简便、无创等特点，且诊断符合率较高，值得推广。
목적：탐토자공진이담관성상（MRCP）기술재담도결석진단중적응용개치。방법회고성분석2012년3월～2012년8월우아원경내경하역행이담관조영술（ERCP）학진적60례담도결석환자적MRCP자료。결과 ERCP공발현간외담관결석19례，간내담관결석12례，간내외결석29례；MRCP공발현간외담관결석19례，간내담관결석10례，간내외결석27례，루진4례，진단부합솔위93.3%，루진솔위6.7%。결론 MRCP진단담도결석구유안전、간편、무창등특점，차진단부합솔교고，치득추엄。
Objective To evaluate the effectiveness of application of MRCP (Magnetic Resonance Cholangio-pancreatography) in the diagnosis of biliary calculi.Methods The MRCP images of sixty biliary calculi patients who had been conifrmed by using ERCP (Endoscopic Retrograde Cholangio-Pancreatography) in the hospital from March to August 2012 were retrospectively reviewed.Results Among all the patients, 19 cases of extrahepatic bile duct stones, 12 cases of intrahepatic bile duct stones as well as 29 cases of liver and extrahepatic stones were found by using ERCP versus 19, 10 and 27 cases respectively by using MRCP. MRCP failed to diagnose four cases and its diagnostic accuracy and missed diagnosis rate were 93.3% and 6.7% respectively.Conclusion MRCP demonstrated its safe, simple and non-invasive features with high success rate, which deserved wider promotion.