摘要
目的 评价ERCP和MRCP在慢性胰腺炎诊断中的应用价值。方法 回顾分析 1993年1月至 2 0 0 1年 5月我院收治的经临床表现、影像学及病理检查确诊的慢性胰腺炎 2 62例 ,其中同时行ERCP和MRCP检查 12 0例。结果 12 0例慢性胰腺炎病人中经ERCP检查发现胰、胆管病变并确诊慢性胰腺炎 10 8例 ,准确率为 90 % ;经MRCP发现胰、胆管狭窄、扩张 ,结石等病变并诊断慢性胰腺炎 10 6例 ,准确率为 88 3 % ,统计分析两者无显著意义 (P =0 678) ;ERCP和MRCP同时提示胰、胆管病变并确诊慢性胰腺炎 96例 ,诊断符合率为 81 4 % ;ERCP同MRCP相结合诊断慢性胰腺炎 118例 ,诊断准确率为 98 3 % ;ERCP和MRCP造影成功率均为 10 0 % ,未发生严重的并发症。结论 ERCP和MRCP在诊断慢性胰腺炎中有很好的相关性 ,两种诊断方法之间统计分析无显著差异 ,两种检查方法相结合几乎能完全确诊慢性胰腺炎。而且ERCP除诊断作用之外 ,还兼有治疗作用 ,对一般状况较好 。
Objective To evaluate the roles of ERCP and MRCP in diagnosis of chronic pancreatitis (CP). Methods A total of 262 patients were diagnosed to suffer from CP by clinical manifestations, imaging examination and pathological examination and treated in our hospital from January 1993 to May 2001. Of these 262 patients, 120 received both ERCP and MRCP. Their clinical data were retrospectively analyzed. Results Cholangiopancreatic disorder was found and CP diagnosed by ERCP in 108 out of the 120 patients. The sensitivity was 90%. Meanwhile, constriction dilatation and calculi were found and CP diagnosed by MRCP in 106 patients. The sensitivity was 88 3%. No statistical difference was found between interpretations based upon ERCP and MRCP (P>0 05). CP was discovered by both ERCP and MRCP in 96 patients. The rate of diagnostic agreement was 81 4%. Furthermore, CP was diagnosed by ERCP or MECP in 118 patients and the sensitivity was up to 98 3%. All patients were successively examined by the two methods and no severe complications were found in regard to the examinations themselves. Conclusions MRCP is as sensitive as ERCP in diagnosing CP. Meanwhile, it is feasible to presume that all the cases of CP can be diagnosed by ERCP in combination with MRCP. ERCP can also exert therapeutic effects on CP. Therefore, ERCP should be used first in patients with good conditions.
出处
《中华肝胆外科杂志》
CAS
CSCD
2002年第2期70-73,共4页
Chinese Journal of Hepatobiliary Surgery
