| 磁共振胆胰管成象的优越性和局限性 |
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| 引用本文： | 张晞文,施维锦,姜广杰,季福,孙建华,顾海燕.磁共振胆胰管成象的优越性和局限性[J].外科理论与实践,1999,4(3):215-5. |
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| 作者姓名： | 张晞文 施维锦 姜广杰 季福 孙建华 顾海燕 |
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| 作者单位： | 上海第二医科大学附属仁济医院普外科,上海第二医科大学附属仁济医院普外科,上海第二医科大学附属仁济医院普外科,上海第二医科大学附属仁济医院普外科,上海第二医科大学附属仁济医院普外科,上海第二医科大学附属仁济医院放射科 200001 ,200001 ,200001 ,200001 ,200001 ,200001 |
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| 摘 要： | 探讨磁共振胆胰管成象(MRCP)诊断胆胰疾病的优越性和局限性。方法:回顾性分析50例疑有胆胰疾病的MRCP图象,并在部分病例中将MRCP与ERCP和PTC的结果作对照。结果:50例全部获得有诊断价值的MRCP图象,成象率达100％。肝外胆管、肝管分叉部及胰管显示率分别为100％(50/50)、94％(47/50)和44％(22/50)。良性病变34例,MRCP诊断正确率97％(33/34),恶性病变13例的诊断正确率仍达92％(12/13)。结论:MRCP对胆胰疾病的诊断在多方面已可取代ERCP和PTC。但MRCP在判断胆道梗阻是否完全、肿瘤的定性诊断等方面尚存在一定的局限性。
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| 关 键 词： | 磁共振胆胰管成象 胆胰管造影 优越性 局限性 |
The Advantages and Limitations of Magnetic Resonance Cholangiopancreatography(MRCP) |
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| Zhang Xiwen,Shi Wei-jin,Gu Haiyan,et al..The Advantages and Limitations of Magnetic Resonance Cholangiopancreatography(MRCP)[J].Journal of Surgery Concepts & Practice,1999,4(3):215-5. |
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| Authors: | Zhang Xiwen Shi Wei-jin Gu Haiyan |
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| Abstract: | To study the diagnostic value of magnetic resonance cholangiopancreatography(MRCP) and its limitations in clinical use. Methods: 50 cases suspicious of biliopancreatic diseases and having under-gone MRCP were reviewed and were compared in part with ERCP and PTC. Results: MRCP images of diagnostic value were obtained in all cases. The diagnostic accuracy of MRCP in benign and malignant biliopancreatic diseases were 97% and 92%, respectively. Conclusions: MRCP might replace ERCP or PTC in the diagnosing many cases of biliopancreatic diseases. But it cannot totally replace ERCP and PTC. |
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| Keywords: | Cholangiopancreatography MRCP Advantage Limitation |
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