彩超与MRCP在梗阻性黄疸鉴别诊断中的不同价值

摘要

目的：探讨超声、核磁共振胰胆管成像（ MRCP）检查方法对梗阻性黄疸的诊断价值。方法：选择2008年1月~2013年5月确诊为梗阻性黄疸的患者，比较分析各种检查方法对梗阻部位及梗阻病因的准确率。结果：确诊为梗阻性黄疸的患者为73例，彩超梗阻部位的显示率为79％，MRCP 梗阻部位的显示率为91％。而梗阻原因有：胆总管结石、胰头癌、壶腹周围癌、、胆囊癌、胆管癌等。结论：各种诊断方法各有其优缺点，MRCP在梗阻性黄疸的诊断上具有较大的价值。%Objective To study diagnostic value of ultrasound and magnetic resonance Cjolangiopancreatograpjy( MRCP)in tje diag-nosis of obstructive jaundice. Method To Select tje patients diagnosed witj obstructive jaundice from January 2008 to May 2013,tje accu-racy of position and obstructive causes witj various metjods of cjecking was compared and analyzed. Results Obstructive jaundice patients wjo were Diagnosed were 73 cases,tje rate for distinction of color Doppler ultrasound for obstructive parts was 79%,tje Rate for distinction of MRCP for obstructive parts was 91%. Obstruction causes were cjoledocjolitjiasis,cancer of tje jead of tje pancreas,periampullary ade-nocarcinoma,carcinoma of bile duct,carcinoma of gallbladder. Conclusion Various diagnostic metjods jas tjeir advantages and disadvanta-ges,Tjere is a great value for diagnosing obstructive jaundice witj MRCP.