原创《磁共振胰胆管水成像对胆管变异评估的临床价值》：该文是关于磁共振论文范文，为你的论文写作提供相关论文资料参考。
[摘 要] 目的 分析胆管变异磁共振胆胰管成像（MRCP）的影像表现,探讨MRCP对胆道变异的临床价值及意义.方法 回顾性分析2014年10月～2017年10月300位行MRCP患者影像分析胆系结石与胆管变异的相关性,另分析经皮穿刺造影（PTC）或内镜逆行性胰胆管造影（ERCP）证实的29例胆管异常MRCP的特异性与灵敏性. 结果 以PTC或ERCP为标准来分别判定超声、CT及MRCP检查胆管变异结果,三者灵敏性及特异性分别为：81.82%及57.14%、92.00%及50.00%、92.59%及100.00%.MRCP诊断胆管变异的灵敏性及特异性高于超声及CT检查,与超声检查灵敏性结果无明显差异.胆囊、胆囊管结石的情况胆囊管变异患者发生胆囊、胆囊管结石的概率较高,差异有统计学意义（χ2等于8.480,P<0.05）. 结论 MRCP对胆管变异诊断具有较高的准确性,且对临床治疗有重要的指导意义.
[关键词] 胆管变异；胆系病变；超声；CT；磁共振成像；MRCP
[中图分类号] R445.2 [文献标识码] B [文章编号] 1673-9701（2018）09-0124-03
Clinical value of magnetic resonance cholangiopancreatography in evaluating bile duct abnormalities
LI Qi1 DONG Shuang2 HU Mingcheng1 LI Hongyi1 XING Jian1 REN Chunhui1 LIU Xinliang1 SUN Jiping1
1.Department of Magnetic Resonance,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang 157011, China；2.Department of Ultrasound,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang 157011, China
[Abstract] Objective To analyze the imaging findings of magnetic resonance cholangiopancreatography（MRCP）in bile duct and to explore the clinical value of MRCP in biliary tract abnormalities. Methods The correlation between gallstone and bile duct abnormalities in 300 patients undergoing MRCP from October 2014 to October 2017 was retrospectively analyzed. We also analyzed the specificity and sensitivity of MRCP in 29 cases of bile duct abnormalities confirmed by percutaneous transhepatic cholangiography（PTC） or endoscopic retrograde cholangiopancreatography（ERCP）. Results The results of bile duct abnormalities by ultrasound, CT and MRCP were judged by PTC or ERCP. The sensitivity and specificity of the three methods were 81.82% and 57.14%, 92.00% and 50.00%, 92.59% and 100.00%, respectively. The sensitivity and specificity of MRCP in the diagnosis of bile duct abnormalities were higher than that of ultrasound and CT. There was no significant difference between MRCP and ultrasound. Gallbladder, cystic duct stones in patients with cystic duct abnormalities were higher and the difference was statistically significant（χ2等于8.480, P<0.05）. Conclusion MRCP has high accuracy in the diagnosis of bile duct abnormalities with important significance for guiding in clinical treatment.
[Key words] Bile duct abnormalities； Biliary disease； Ultrasound； CT； Magnetic resonance imaging； MRCP
近年來随着由于胆石症、胆胰肿瘤等疾病引起的胆系梗阻性疾病发病率逐年升高,胆道手术量亦呈现出逐年上升的趋势,但由于手术导致的术后并发症（胆道损伤、出血及胆汁瘘等）也呈现出增高的表现[1,2],除对术者提出了较高的要求,术前对胆道系统全面的评估也有重要意义.传统意义上,内镜引导下逆行性胰胆管造影（endoscopic retrograde cholangiopancreatography,ERCP）或经皮穿刺造影（percutaneous transhepatic cholangial,PTC）是胆道系统成像的金标准[2],前者对这一检查往往对操作者要求具有较高技术水平,而检查完成后常会出现急性胰腺炎、消化道穿孔及胆系感染等严重并发症的出现；后者由于其操作繁琐且患者接受电离辐射剂量较大,临床上往往作为治疗手段应用.磁共振胰胆管水成像技术（magnetic resonance cholangiopancreatography,MRCP）是近年来临床应用较为广泛的胰胆管成像技术,其具有无创、无需造影剂的引入、无电离辐射及检查后无不良反应等特点,本研究回顾性分析患者MRCP影像资料,探讨其临床价值,现报道如下.
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结论：磁共振胰胆管水成像对胆管变异评估的临床价值为关于对不知道怎么写磁共振论文范文课题研究的大学硕士、相关本科毕业论文磁共振论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。
