临床肝胆病杂志2012，Vol.28Issue(2)：121-123,134,4.
经内镜逆行胰胆管造影与超声、多排螺旋CT、磁共振胰胆管造影对梗阻性黄疸诊断价值的比较
Comparative diagnostic evaluation with ultrasonography, MSCT, MRCP and ERCP in patients with obstructive jaundice
谢佳平 1赵景润 1任晓燕 2马清珠1
作者信息
- 1. 聊城市人民医院 消化内科,山东聊城252000
- 2. 聊城市人民医院 中心实验室,山东聊城252000
- 折叠
摘要
Abstract
Objective To compare the diagnostic accuracy of endoscopic retrograde cholangiopancreatography (ERCP) with ultrasonogra-phy, multislice spiral computed tomography ( MSCT) and magnetic resonance cholangiopancreatography ( MRCP) on the location and etiology of obstructive jaundice. Methods 128 patients underwent ultrasonography, MSCT and ERCP, and 35 patients underwent MRCP. Results For the diagnosis of the location of obstructive jaundice, there is no significant difference found on evaluation of intrahepatic ducts and head of pancreas diagnosed by the four methods. Although ERCP has no significant difference with MRCP in investigating extrahepatic ducts but ERCP is superior to ultrasonography and MSCT. As for the etiology of obstructive jaundice, there is no significant difference found on evaluation for gallstone, cholangitis and carcinoma of the head of pancreas diagnosed by the four methods. MRCP, MSCT and ERCP were all better than ultrasonography for the diagnosis of cholangiocarcinoma, further more, ERCP was better than ultrasonography and MSCT for duodenal papilla cancer and juxtapapillary duodenal diverticula diagnosis. Conclusion ERCP has an important value in diagnosing the location (especially extrahepatic ducts, duodenal papilla) and etiology (especially cholangiocarcinoma and duodenal papilla cancer) of obstructive jaundice.关键词
黄疸,阻塞性/胰胆管造影术,内窥镜逆行/超声检查/体层投影术,螺旋计算机/胰胆管造影术,磁共振Key words
jaundice/obstructive/ cholangiopancreatography/endoscopic retrograde/ ultrasonoyraphy/ tomography/spiral computed/cholangiopancereatography/magentic resonance分类
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谢佳平,赵景润,任晓燕,马清珠..经内镜逆行胰胆管造影与超声、多排螺旋CT、磁共振胰胆管造影对梗阻性黄疸诊断价值的比较[J].临床肝胆病杂志,2012,28(2):121-123,134,4.
