磁共振胆胰管成像对梗阻性黄疸的临床诊断价值

Value of Magnetic Resonance Cholangiopancreatography in Clinical Diagnosis of Obstructive Jaundice

目的 探讨磁共振胆胰管成像 (magneticresonancecholangiopancreatography, MRCP)对梗阻性黄疸的临床诊断价值。 方法 对 22例梗阻性黄疸病人行MRCP检查,根据手术情况及病理检查结果评价MRCP诊断率。 结果 MRCP检查的定位诊断率为 100. 0% ( 22 /22 ),良性疾患定性诊断率为 87. 5% (14 /16),恶性梗阻性黄疸定性诊断符合率为 75. 0% ( 6 /8 ),总的定性诊断符合率达81. 8% (18 /22)。 结论 MRCP是一种简单、安全、方便的检查方法,对梗阻性黄疸的临床诊断有重要价值,值得临床推广应用。

Objective To assess the diagnostic value of ma gnetic resonance cholangiopancreatography (MRCP) in obstructive jaundice. Methods 22 cases of obstructive jaundice were examined by MR CP. The result of MRCP was tested with the findings of operation and pathologica l exam. Result The accurency of localization was 100.0%( 22/22),the rate of qualitative diagnosis for benign and malignant lesion were 8 7.5%(14/16) and 75.0%(6/8) respectively, with 81.8%(18/22) in general. Conclusion MRCP is a simple, safe, convient diagnostic modality f or clinical diagnosis of obstructive jaundice, and is recommendable for clinical application.