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单次激发放射状MRCP临床应用

The Clinical Evaluation of MR Cholangiopancreatography

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【作者】 张月浪强永乾孙兴旺李妙玲王秋平

【Author】 ZHANG Yue-lang,QIANG Yong-qian,SUN Xing-wang,LI Miao-ling,WANG Qiu-ping(The Imaging Center, the First Hospital of Xi’an Jiaotong University,Xi’an,Shaanxi 710061,China)

【机构】 西安交通大学第一医院影像中心西安交通大学第一医院影像中心 陕西西安710061陕西西安710061陕西西安710061

【摘要】 目的 探讨单次激发放射状磁共振胰胆管水成像 (SSH/MRCP/RAD)序列的临床应用价值。方法 对 42例均经手术或病理证实的胰胆管疾病患者的MRCP资料进行回顾性分析 ,MRCP采用单次激发放射状自旋回波序列技术。其中包括结石 19例、炎症 3例、先天囊肿 6例、胆管癌 12例、十二指肠降段憩室炎引起黄疸 1例、Mirizzi综合征 1例。结果  42例MRCP检查均一次成功 ,肝内外胆管显示率 10 0 % ,主胰管显示率 80 .5 8%。定位诊断为 10 0 % ,定性诊断 88.2 %。结论 对胰胆管病变的检查 ,SSH/MR CP/RAD是较为理想的成像技术 ,在临床上有较大的应用价值。

【Abstract】 Objective To evaluate the clinical diagnostic value of magnetic resonance cholangiopancreatography ( MRCP ).Methods MPCP data of 42 cases with pancreatic and bile duct lesion proved by operation and pathology were analyzed retrospectively.MRCP was performed using single-shot-radio SE sequence (SSH/RAD). Of all cases included bile duct lithiasis in 19 , inflammation in 3,congenital cyst in 6 , carcinoma in 12,jaundice caused by diverticulitis of duodenum in 1 and Mirizzi syndrome in 1 .Results MRCP was succeeded at one time in all cases . On MRCP , the visual rate of intrinsic and extrinsic hepatic bile duct was 100% and that of common pancreas duct was 80.58%.The localized and qualitative diagnosis of lesions were up to 100%,88.2% respectively.Conclusion SSH/MRCP/RAD plays an important role in diagnosis of the pancreatic and bile duct lesion in clinical practice.

【关键词】 胆道磁共振成像胰胆管成像
【Key words】 bile ductMRIcholangiopancreatography
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2005年01期
  • 【分类号】R445.2
  • 【被引频次】20
  • 【下载频次】75
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