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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