目的评价磁共振胰胆管成像(MRCP)对胆源性胰腺炎胆道病变的诊断价值。方法25例胆源性胰腺炎患者,临床检查发现总胆红素、ALT升高及部分患者B超检查提示胆总管扩张,疑有胆总管病变,施行MRCP检查。结果19例发现有胆道病变,诊断率达76%(19/25),明显高于B超的36%(9/25)。结论在胆源性胰腺炎后行胆囊切除术前行MRCP检查,可避免胆总管结石的遗漏或不必要的胆总管探查。
                                 
                                    
                                  
                       
                           Citation:
                           乔鸥,金焰,董坤. 磁共振胰胆管成像对胆源性胰腺炎胆道病变的诊断价值. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 256-257. doi: 
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		                                    - 1.  黄志强主编. 现代腹部外科学 [M]. 长沙: 湖南人民出版社, 1994∶461~462.		                                    
		                                    
- 2.  Tenner S, Dubner H, Steinberg W. Predicting gallstone pancreatitis with laboratory parameters: a metaanalysis [J]. Am J Gastroenterol, 1994; 89(10)∶1863.		                                    
		                                    
- 3.  赵玉沛. 胆源性胰腺炎诊断标准与处理原则的探讨 [J]. 中华肝胆外科杂志, 2002; 8(2)∶95.		                                    
		                                    
- 4.  Wallner BK, Schumacher KA, Weidenmaier W, et al. Dilated biliary tract: evaluation with MR cholangiography with a T2weighted contrastenhanced fast sequence [J]. Radiology, 1991; 181(3)∶805.		                                    
		                                    
- 5.  Reinhold C, Bret PM. Current status of MR cholangiopancreatography [J]. AJR Am J Roentgenol, 1996; 166(6)∶1285.