摘要: 目的:探讨磁共振胰胆管成像(MRCP)及内镜逆行胰胆管造影(ERCP)对胆道梗阻的诊断价值.方法:对30例胆道梗阻患者进行MRCP和ERCP检查,并经手术和病理证实.结果:30例MRCP均获得成功,而ERCP成功率为(29/30)96.7%.MRCP和ERCP总的诊断准确率分别为86.7%和90.0%;其中对恶性病变的诊断准确率分别为87.5%和75.0%;对...
MRCP与ERCP对胆道梗阻性疾病的对比分析
One child progressed to cirrhosis with symptomatic portal hypertension within a 2-yr period.doi:10.1016/S0002-9270(02)05221-8Idriz KovacevicKyle P EtzkornSanjivani JoglekarAntony ManiatisMark FleisherElsevier Inc.American Journal of Gastroenterology
Functional MRCP in pancreatic and periampullary disease Background. The magnetic resonance (MR) evaluation of the pancreatic and biliary tree has undergone an important evolution because the introduction of the ... C Matos,C Winant,M Delhaye,... - 《International Journal of Gastrointestinal Cancer...
ERCP、CT和MRCP对胆胰疾病诊断及治疗方面的对比研究可以看出: 1)ERCP检查能直接使肝内的胆管全貌清晰显影,并能在内镜下对十二指肠乳头区黏膜直接观察和切取活组织病检,对胆道内的较小占位及形态特征,由于造影剂的衬托可清晰显示,并能置管引流防止检查后继续感染,尤其是EST问世后,许多胆胰疾病在检查的同时达到治疗...
Gallbladder cancer(emedicine.medscape.com) Ultrasound and gallbladder cancer(emedicine.medscape.com) HIDA scan (mypacs.net) CCK-HIDA scan for diagnosis of biliary dyskinesia (cheboygansurgical.com) ERCP(digestive.niddk.nih.gov) MRCP vs ERCP(louisville.edu)...
右上腹痛1周,MRCP:胆总管扩张,考虑下端结石,诊断:胆总管结石,拟行ERCP+EST+球囊扩张+取石术+ENBD术,操作演示专家朱苏敏教授。导丝进了胰管,现在摆一个单猪尾胰管支架,一般进胰管超过2次建议放胰管支架,术中一般都用生长抑素预防胰腺炎,注意猪尾圈摆到右...
ERCP-first and MRCP-first patients were away from usual activities for 3.4 ± 7.7 days and 2.0 ± 4.8 days respectively (P < 0.001).ConclusionA strategy of MRCP-first decreased the need for subsequent MRCPs, but not complications. Further study is required to define factors influencing the ...
经初步评估,超声内镜(EUS)是不明原因的急性和复发性胰腺炎的首选诊断检查。磁共振成像(MRI)和磁共振胆胰管成像(MRCP)可作为EUS的补充或替代检查。 【说明】:进行了常规的病因鉴别工作之后,仍有16%-27%的AP患者无法明确病因,EUS是不明原因AP最重要的诊断工具,可发现29%-88%患者的潜在病因。尽管EUS检查的最佳时间...
合并胰腺分裂的慢性胰腺炎患儿内镜治疗后腹痛缓解率较无PD患儿低(55% vs 62%),然而合并胰管结石的胰腺分裂患儿有效率可达83%,更易从内镜治疗中获益[28]。ERCP诊断PD的敏感性高达90%,显著高于MRCP诊断PD的敏感性68%;ERCP治疗儿童PD的临床缓...