摘要
目的 探讨胆源性胰腺炎中磁共振胆胰管成像 (MRCP)在决定胆道探查中的作用。方法 回顾性分析 1995～ 2 0 0 2年间两阶段胆源性胰腺炎行胆道探查的病例资料 :1995～ 1999年 46例无MRCP检查 ,术前B超提示胆囊结石、胆总管结石及胆管扩张 ;2 0 0 0～ 2 0 0 2年 3 0例术前经MRCP检查提示胆囊结石、胆总管结石及胆管扩张或胆总管下段狭窄。结果 第一阶段术中探查及术后T管造影显示无结石 ,无胆总管下段梗阻或十二指肠乳头狭窄 2 8例 (60 .9% ) ;第二阶段术中探查及术后T管造影显示无结石 ,无胆总管下段梗阻或十二指肠乳头狭窄 7例 (2 3 .3 % )。第二阶段经MRCP指导的胆道探查阴性率较第一阶段明显为低 (P <0 .0 5 )。结论 胆源性胰腺炎应严格掌握胆道探查指征 ,术前MRCP检查可显著降低术中胆总管探查阴性率 ,MRCP有助于判断胆源性胰腺炎是否需行胆道探查。
Objective To evaluate the efficacy of MRCP in the determination of common bile duct (CBD) exploration in gallstone pancreatitis(GP). Methods The clinical data of the patients who underwent CBD exploration due to gallstone pancreatitis during two different periods were retrospectively reviewed. Between 1995 and 1999,46 patients with gallstone pancreatitis underwent CBD explorations based on the preoperative ultrasonographic examination of stones and dilatation of CBD . Between 2000 to 2002,the explorations were carried out in 30 patients based on MRCP findings. Results Negative exploration occurred in 28 patients (60.8%) during the first period and 7 patients (23.3%) during the second period. The difference of negative CBD exploration rate between the two groups was statistical significance(P<0.05). Conclusions The preoperative MRCP is able to provide more exact findings of biliary system and can significantly decrease the negative rate of intraoperative CBD exploration,therefore it is beneficial to make the decision of CBD exploration in gallstone pancreatitis intraoperatively.
出处
《中国普通外科杂志》
CAS
CSCD
2004年第6期405-407,共3页
China Journal of General Surgery
关键词
胰腺炎/治疗
磁共振胆胰管成像术
PANCREATITIS/ther
MAGNETIC RESONANCE CHOLANGIOPANCRETOGRAPHY
