张金平,罗宗甫,吴伟,章安庆,章崇志,汤永祥,高萍,宋波,方堃,王成道.中场磁共振胰胆管成像的临床应用研究[J].中国医学影像技术,2002,18(4):335~337
中场磁共振胰胆管成像的临床应用研究
The Clinical Application Study on Middle-Field MR Cholangiopancreatography
投稿时间:2001-10-28  
DOI:
中文关键词:  磁共振胰胆管成像  胆胰疾病  诊断
英文关键词:MRCP  Pancreaticobiliary disease  Diagnosis
基金项目:
作者单位
张金平 安徽省铜陵市人民医院磁共振室,安徽铜陵 244000 
罗宗甫 安徽省铜陵市人民医院普外科,安徽铜陵 244000 
吴伟 安徽省铜陵市人民医院普外科,安徽铜陵 244000 
章安庆 安徽省铜陵市人民医院普外科,安徽铜陵 244000 
章崇志 安徽省铜陵市人民医院普外科,安徽铜陵 244000 
汤永祥 安徽省铜陵市人民医院磁共振室,安徽铜陵 244000 
高萍 安徽省铜陵市人民医院磁共振室,安徽铜陵 244000 
宋波 安徽省铜陵市人民医院磁共振室,安徽铜陵 244000 
方堃 安徽省铜陵市人民医院磁共振室,安徽铜陵 244000 
王成道 安徽省铜陵市人民医院磁共振室,安徽铜陵 244000 
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中文摘要:
      目的 研究中场磁共振胰胆管成像(MRCP)对胆胰疾病的诊断价值。方法 对125例患者进行检查,获得单纯MRCP(sMRCP)及联合MRCP(cMRCP)诊断结果,并与B超对比分析。结果 cMRCP、sMRCP及B超对胆胰管梗阻诊断敏感性及梗阻部位诊断符合率均很高,且相互间无显著性差别(P>0.05);对病灶数诊断符合率依次为88.8%、58.9%及57.0%,与cMRCP相比均有高度显著性差别(P<0.01);对恶性肿瘤性梗阻诊断准确性分别为97.6%、89.6%及89.6%,与cMRCP相比均有高度显著差别(P<0.01)。结论 中场cMRCP对胆胰管梗阻病因学诊断明显优于sMRCP及B超。
英文摘要:
      Objective To study the diagnostic evaluation of the pancreaticobiliary diseases with middle-field MRCP. Methods The diagnostic Results of combined MRCP ( cMRCP) and single MRCP ( sMRCP) were yielded in 125 patients and were compared with B-ultrasound. Results Either the sensitivity in distinguishing whether the pancreaticobiliary duct obstructed or the coincident ratio in diagnosis of the obstructive parts was conformably very high for cMRCP, sMRCP, or B-ultrasound. The diagnostic coincident ratio of lesion for cMRCP, sMRCP, and B-ultrasound were 88.8%, 58.9%, and 57.9%, respectively. The coincident ratio difference between sMRCP or B-ultrasound and cMRCP appeared statistically highly significant (P<0.01). In distinguishing the malignant from the benign or the normal, the accuracies for cMRCP, sMRCP, and B-ultrasound were 97.6%,89.6%,and 89.6%, respectively. The difference of accuracy between sMRCP or B-ultrasound and cMRCP showed statistically highly significant (P<0.01) . Conclusion cMRCP is superior to sMRCP or B-ultrasound in ascertaining the obstructive causes of the pancreaticobiliary diseases.
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