3D-MRCP联合MRI及动态增强在梗阻性黄疸中的诊断价值

MRCP Combined with Routine MRI and Dynamic Enhanced MRI in the Diagnosis of Obstructive Jaundice

目的:评价3D-MRCP(三维-胰胆管磁共振成像)联合MRI及动态增强在梗阻性黄疸中的诊断价值。方法:回顾性分析经我院收治的110梗阻性黄疸病例,分析其MRCP、常规MRI及动态增强的影像表现。结果:MRCP对梗阻部位的判断准确率为100%,但对管腔内、管壁周围的组织显示较差,常规MRI及动态增强不仅对梗阻部位及其周围组织的信号有较好的显示,同时对所示腹腔脏器有全面的观察和了解,充分弥补了MRCP信号不足的缺点。结论:MRCP联合常规MRI及动态增强在梗阻性黄疸中有较高的临床应用价值。

Purpose： To evaluate MRCP （magnetic resonance cholangiopancreatography） combined with routine MRIand dynamic enhanced MRIin the diagnosis of obstructive jaundice.Methods： One hundred and ten patients with obstructive jaundice who were treated in our hospital were enrolled.The image data of MRCP, routine MRIand dynamic enhanced MRIwere analyzed.Results： The accuracy of MRCP in identifying of the location of obstruction was 100%,but the display of the lumen, surrounding tissue by MRCP was poor.The site of obstruction and the tissue around could be displayed well by routine and dynamic enhanced MRI, and at the same time,a comprehensive observation and understanding of abdominal viscera could be done.Conclusion：MRCP combined with routine MRI and dynamic enhanced MRI in obstructive jaundice has a high value for the clinical application.