MRCP在梗阻性黄疸诊断中的应用价值

The application of magnetic resonance cholangiopancreatography in diagnosis of obstructive jaundice

目的研讨磁共振胰胆管成像(MRCP)在梗阻性黄疸患者诊断中的应用价值。方法对33例梗阻性黄疸病人行MRCP检查,并与手术情况及病理检查结果进行比较,评估MRCP诊断准确率。结果MRCP检查的定位诊断率100%(33/33),其中良性疾患定性诊断率87.5%(21/24),恶性梗阻性黄疸定性诊断率90%(9/10),总的定性诊断符合率87.9%(29/33)。结论MRCP是一种简单、无创且安全的检查方法,在梗阻性黄疸的临床诊断中有重要价值,值得临床推广应用。

Objective To investigate the clinical application of magnetic resonance cholangiopancreatography（MRCP） in diagnosis of obstructive jaundice, Methods Thirty - three patients with obstructive jaundice were examined by MRCP and the accurate rate of MRCP was evaluated according to the result of operation and pathology examination. Results The positive rate of the orientation diagnosis of MRCP in obstruction was 100% （33/33）. The accurate rates of qualitative diagnosis for benign disease and malignant obstructive jaundice were 87.5% （21/24） and 90% （9/10） respectively. The general qualitative diagnose accordance rate was 87.9% （29/33）. Conclusion MRCP is simple, hurtless and safe for the diagnosis of obstructive jaundice and it deserves generalization in the clinical application.