磁共振胰胆管成像与内镜逆行胰胆管造影术的对照研究

Comparative Study of Magnetic Resonance Cholangio-Pancreatography and Endoscopic Retrograde Cholangio-Pancreatography

目的探究磁共振胰胆管成像(MRCP)与内镜逆行胰胆管造影术(ERCP)在胰胆系统疾病诊断中的应用价值。方法胰胆系统疾病的患者60例均行磁共振胰胆管成像与内镜逆行胰胆管造影术,对照两组的检查结果。结果两种诊断方式的特异度均为100%,对比无明显差异(P>0.05);磁共振胰胆管成像的诊断敏感度和准确度略高于内镜逆行胰胆管造影术,但差异无统计学意义(P>0.05)。结论两种方式在诊断胰胆系统疾病中具有同样的价值,且磁共振胰胆管成像具有无创性,可替代诊断性ERCP,为ERCP术前明确患者病情,确定手术方式提供重要参考,避免诊断性ERCP带来的并发症。

Objective To explore the value of the Magnetic Resonance Cholangio -Pancreatography （MRCP） and Endoscopic Retrograde Cholangio- Pancreatography （ERCP） in the diagnosis of pancreatic diseases of the biliary system application. Methods 60 patients with pancreatic biliary system diseases were selected as two groups and the patients in the two groups underwent magnetic resonance imaging and endoscopic retrograde pancreatic angiography, respectively. The results of the two group were compared. Results The specificity of the two diagnostic methods was 100% and there was no significant difference between the two groups （ P 〉 0.05 ）. The diagnostic sensitivity and accuracy of MRCP diagnosis of pancreatic were slightly higher than that of ERCP, but the difference was not statistically significant （P 〉 0.05 ）. Conclusion MRCP and ERCP have the same value in the diagnosis of pancreatic diseases of the biliary system. As magnetic resonance imaging is non -invasive, it can replace diagnostic ERCP. It provides an important reference for preoperative patients to determine the surgical procedure and avoid the complications of diagnostic ERCP.