摘要
目的探讨MRCP在胰胆道疾病中的诊断价值。方法对104例胰胆道疾病的患者行MRCP检查,其中良性疾病80例,恶性疾病24例。结果良、恶性病变的胆管扩张程度、扩张形态比较有统计学差异(P<0.05或P<0.01);良性病变胆管扩张程度轻,多呈树枝状;恶性病变胆管扩张程度重,多呈软藤状。MRCP的定位准确率为81.7%(85/104),定性准确率为86.5(90/104),其中对良性病变的定位、定性准确率分别为77.5%和88.7%,恶性病变分别为95.8%和79.2%。结论MRCP对胰胆道疾病的诊断和鉴别诊断有较准确、直观的提示作用。
Objective To evaluate the value of magnetic resonance cholangiopancreatography（MRCP） in diagnosis of cholangiopancreatic tract diseases.Method 104 patients with cholangiopancreatic tract diseases were performed MRCP,including 80 of benign diseases and 24 of malignant diseases.Results There was significant difference of degree and shape of cholangiectasis between benign and malignant lesions（P〈0.05 or P〈0.01）.The mild degree and dendritic shape of cholangiectasis was found in benign diseases,whereas severe degree and soft rattan-form of cholangiectasis was observed in malignant diseases.The locating accuracy and qualitative accuracy of MRCP was 81.7%（85/104） and 86.5（90/104） respectively.Of which,the locating accuracy and qualitative accuracy was 77.5% and 88.7% in benign lesions,and 95.8% and 79.2% in malignant lesions,respectively.Conclusion MRCP is an accurate and effect method for diagnosis and differential diagnosis of cholangiopancreatic tract diseases.
出处
《中国现代手术学杂志》
2008年第3期229-232,共4页
Chinese Journal of Modern Operative Surgery
关键词
胰胆管造影术
磁共振
cholangiopancreatography,magnetic resonance
