经内镜逆行胰胆管造影术与磁共振胰胆管造影术诊断胆胰疾病44例分析

Comparison of ERCP and MRCP in dignosis of pancreatobiliary diseases (a clinical ananlysis of 44 cases)

目的探讨磁共振胰胆管造影术(MRCP)对胆胰疾病的诊断价值。方法回顾分析同时行MRCP与经内镜逆行胰胆管造影术(ERCP)的44例胆胰疾病患者的资料。结果对胆道结石性病变、胆道高位肿瘤诊断符合率高;对胆总管下端及乳头周围肿瘤性病变,MRCP能提出病变部位,不能鉴别病因,但可提供肿瘤侵犯及转移情况;对胆总管下端炎性狭窄诊断也不满意;对局部结构复杂、异常者,因无直视功能易产生漏诊和误诊。结论MRCP给胆胰疾病诊断提供了更多的选择,仍不能替代ERCP。

[Objeetive] To evaluate the dignostic value of magnetic resonance cholangiopancreatography （MRCP） in pancreatobiliary disease. [Methods] 44 patients with biliary and pancreatic duct trouble, who had MRCP and ERCP from Junuary 2005 to December 2006, were analyzed retrospectively. [Results] The accuracy for MRCP and ERCP in choledocholithiasis and upper-middle part of bile duct tumor was content. But it was useful in diagnosing periampulla carcinoma or diseases of bile duct and pancreas. [Conclusions] MRCP is a good option in dignosting biliary and pancreatic diseases. But it can′t replace ERCP yet.