mri平扫联合mr胆胰管造影用于诊断胆管壶腹区病变的效果分析.docVIP

MRI平扫联合MR胆胰管造影用于诊断胆管壶腹区病变的效果分析 　　【摘要】 目的：探讨MRI平扫联合MR胆胰管造影（MRCP）用于诊断胆管壶腹区病变的效果与价值。方法：选择在笔者所在医院接受治疗的62例壶腹区病变患者作为研究对象，对其进行MRI平扫联合MRCP检查，并对检查结果与经内镜逆行性胰胆管造影术（ERCP）和手术病理结果进行比较。结果：62例患者的MRI平扫与MRCP检查与ERCP和手术病理结果相比较，良性病变诊断准确率为89.7%（26/29），恶性病变诊断准确率为90.9%（30/33）。结论：MRI联合MRCP用于胆管壶腹区病变的检查可清晰地显示出病变的范围、部位、程度，并可进行鉴别诊断，诊断准确率高，值得临床推广应用。 　　【关键词】 壶腹区； 胆管； 磁共振成像； 胆胰管造影 　　doi：10.14033/j.cnki.cfmr.2016.36.027 文献标识码 B 文章编号 1674-6805（2016）36-0053-03 　　Effect Analysis of MRI Scan Combined with MR Cholangiopancreatography in Diagnosis of Ampuller Disease of Bile Duct/ZHENG Li-lu，WANG Qing-le，WEI Min，et al.//Chinese and Foreign Medical Research，2016，14（36）：53-55 　　【Abstract】 Objective：To explore the efficiency and value of MRI plain scan combined with MR cholangio pancreatic ductography（MRCP） for the diagnosis of ampulla lesions.Method：62 cases of ampullary lesions who accepted treatment in our hospital were selected as the research object，they accepted MRI plain scan combined with MRCP examination，the results of the examination and the endoscopic retrograde cholangiopancreatography（ERCP） and surgical pathological results were compared.Result：The results of MRI scan and MRCP examination and ERCP and surgery and pathological results of 62 cases of patients were compared.Benign lesions diagnosis accuracy rate of MRI scan and MRCP examination was 89.7%（26/29），the diagnosis accuracy rate of malignant lesions was 90.9%（30/33）.Conclusion：MRI combined with MRCP for ampulla lesions examination can clearly shows the lesions of the range，location，extent，and it can be used for differential diagnosis，the diagnostic accuracy rate is high，it is worth of clinical application. 　　【Key words】 Ampullary region； Bile duct； Magnetic resonance imaging； Cholangiopancreatography 　　First-author’s address：Fujian Provincial Jinshan Hospital，Fuzhou 350028，China 　　胆管壶腹区病变一般会导致低位胆道梗阻，因此治疗前的明确诊断对于治疗方案的确定以及患者的预后极其重要[1]。临床上常用来诊断壶腹部的方法包括超声、CT、MRI和ERCP等，其中超声检查结果容易受到肠道气体的干扰，CT对于软组织的分辨力较低，ERCP则属于有创检查，容易引起多个并发症[2]。临床研究证实