Objective To analyze the clinical diagnostic value of CT、MRI、MRCP in patients with begnign and malignant obstructive jaundice. Method 58 patients with obstructive jaundice in our hospital were selected from January 2015 to October 2018 as the object of this study, all patients underwent there kinds of examinations, including CT、MRI、MRCP, the results of there diagnostic methods were observed and analyzed. Results ① Pathological diagnosis showed, 9 cases located in the hilum of the liver, 13 cases located near the middle common bile duct. 36 cases located distal common bile duct;for CT, 8 cases located in the hilum of the liver, 14 cases located near the middle common bile duct, 36 cases located distal common bile duct;the diagnosis results of MRI and MRCP were the same as pathological diagnosis. ② Pathological diagnosis showed, 34 cases (58. 63％) biliary calculi, 6 cases (10. 35％) cholangitis stricture, 8 cases (13. 79％) carcinoma of bile duct, 7 cases (12. 06％) carcinoma of head of pancreas, 3 cases (5. 17％) ampullary carcinoma. The positive rate of CT was 84. 48％ (49/58), the positive rate of MRI was 86. 21％ (50/58), the positive rate of MRCP was 87. 93％ (51/58). Conclusion CT、MRI and MRCP are effective ways in diagnosing begnign and malignant obstructive jaundice, they have each advantage and disadvantage, In clinic, according to actual situation of patients, considering all factors, the suitable diagnostic methods should be chosen, improve diagnostic accuracyrate.%目的:分析良性、恶性梗阻性黄疸螺旋CT、MRI、MRCP的临床诊断价值.方法:选择在2015年1月～2018年10月期间收治的58例梗阻性黄疸患者作为本次研究对象, 所有患者均接受三种方式检查, 包括螺旋CT、MRI、MRCP, 观察分析三种诊断方式的检查结果.结果:①病理诊断显示, 9例位于肝门部, 13例位于近中段胆总管, 36例位于远段胆总管;螺旋CT显示, 8例位于肝门部, 14例位于近中段胆总管, 36例位于远段胆总管;MRI、MRCP诊断结果与病理诊断相同.②病理诊断显示, 34例 (58.63％) 胆管结石, 6例 (10.35％) 胆管炎性狭窄, 8例 (13.79％) 胆管癌, 7例 (12.06％) 胰头癌, 3例 (5.17％) 壶腹癌.其中螺旋CT确诊率84.48％ (49/58), MRI确诊率86.21％ (50/58), MRCP确诊率87.93％ (51/58) .结论:CT、MRI、MRCP均是诊断良性、恶性梗阻性黄疸的有效方法, 各有优势与不足, 临床上, 需根据患者实际情况, 综合考虑各方面因素, 选择合适的诊断方法, 提高诊断准确率.
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