摘要
目的评价经内镜逆行胰胆管造影(ERCP)和磁共振胆胰管成像(MRCP)对胆管微小结石相关性疾病的诊治价值。方法收集我院56例急性胆源性胰腺炎和16例胆道结石梗阻患者,入选患者同时完成MRCP、ERCP检查治疗,所发现胆胰结石直径均小于3mm,分析比较两种方法对胆管微小结石的诊断价值。结果68例患者MRCP明确提示存在胆总管末端狭窄或胆胰管扩张,占94.4%;61例患者ERCP检查可直接发现微小结石,占84.7%;8例患者通过EST切开及取石球囊取石才发现微小结石或泥沙样结石。结论MRCP作为胆胰疾病的一种无创检查而具有重要的应用前景;ERCP对于微小结石导致的胆胰疾病具有重要诊断意义和治疗价值。
Aim To compare and evaluate ERCP and MRCP for diagnosing microlithiasis of bile duct. Methods Fifty-six patients with acute biliary pancreatitis and 16 patients with cholelithiasis were examined by RCP and MRCP, the findings were compared. Results Sixty-eight patients were found to have stenosis at the end of common bile duct or pancreaticobiliary duct dilation by MRCP, 61 patients were found to have microlithiasis by ERCP. Eight patients were found to have microlithiasis or sand-like stone through EST incision. Conclusion For the detection of microlithiasis of bile duct, ERCP is more sensitive than MRCP, But MRCP, as a new non-invasive method, is of prospective advantages.
出处
《现代消化及介入诊疗》
2009年第3期151-152,155,共3页
Modern Interventional Diagnosis and Treatment in Gastroenterology
