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磁共振多序列检查诊断胆总管小结石 被引量:9

Value of MRI with multi-sequences in the diagnosis of common bile duct small stone
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摘要 目的:探讨磁共振不同序列对胆总管小结石的诊断价值。方法:分析57例经手术临床证实的胆总管小结石病例的磁共振表现,比较薄层T2WI-FS、True FISP、MRCP HASTE和SPACE 4个单序列以及4个序列联合对胆总管小结石的检出率,并做统计学分析。结果:4个序列联合对胆总管小结石的检出率(89.5%)高于单个序列(P<0.05)。结论:对胆总管小结石的磁共振诊断宜结合MRCP HASTE和SPACE序列、以及True-FISP、薄层T2WI-FS等多种序列,以提高诊断敏感性。 Objective: To study the value of MRI with multi-sequences in the diagnosis of common bile duct small stone. Methods: MRI {eatures of 57 cases with common bile duct small stone proved by clinical data and surgery were analyzed. The sensitivity of using thin-slice T2WI-FS,True FISP, MRCP HASTE and SPACE sequence separately and the a- bove-mentioned 4 sequences in combination were compared and analyzed statistically. Results: The sensitivity of thin-slice T2 WI-FS,True FISP, MRCP HASTE and SPACE sequence in combination was 89.5 %, which was higher than that of using one single sequence (P〈0.05). Conclusion:To improve the sensitivity of the diagnosis of common bile duct small stone with MRI, MRCP HASTE, SPACE, True Fisp in combination with thin-slice T2 WI-FS sequence are recommended.
出处 《放射学实践》 2013年第10期1042-1045,共4页 Radiologic Practice
关键词 胰胆管造影术 磁共振 胆总管结石 诊断 Cholangiopancreatography,magnetic resonance Choledocholithiasis Diagnosis
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