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目的:探讨MRCP联合MRI在胰胆管疾病(主要是梗阻性黄疸)定位和定性诊断的价值及与ERCP的对比分析。方法:对2004-10/2008-08312例MRCP及MRI的图像进行分析,并与CT、超声及ERCP结果对照。结果:全部病例MRCP检查均一次成功,312例均行ERCP检查及治疗,与MRCP对照,两者所获图像极其相似。结论:MRCP联合MRI作为无创性检查技术,对胰胆管疾病的定位及定性诊断准确率与ERCP接近,可作为胰胆管病变诊断的首选检查。
Objective: To investigate the value of MRCP combined with MRI in the localization and qualitative diagnosis of pancreaticobiliary duct disease (mainly obstructive jaundice) and its correlation with ERCP. Methods: The images of MRCP and MRI in 2004-10 / 2008-08312 cases were analyzed and compared with CT, ultrasound and ERCP results. Results: MRCP was successful in all cases. All 312 patients underwent ERCP examination and treatment. Compared with MRCP, the images obtained by both were similar. Conclusion: MRCP combined with MRI as a noninvasive technique can be used as the first choice for the diagnosis of pancreaticobiliary ductal disease. The accuracy of positioning and qualitative diagnosis of pancreaticobiliary ductal disease is close to that of ERCP.