【摘 要】
：
目的评价磁共振胰胆管成像(MRCP)联合肿瘤标志物对梗阻性黄疽的诊断价值。方法采用高场强MRCP检查115例梗阻性黄疽患者,同时测定患者血清CA19-9水平。结果 MRCP对良、恶性梗
【机 构】
：
大同大学附属医院磁共振科,大同大学附属医院核医学科,
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目的评价磁共振胰胆管成像(MRCP)联合肿瘤标志物对梗阻性黄疽的诊断价值。方法采用高场强MRCP检查115例梗阻性黄疽患者,同时测定患者血清CA19-9水平。结果 MRCP对良、恶性梗阻性黄疸的定位准确率达100%,诊断准确率分别为85.9%、86.4%;良、恶性梗阻性黄疸CA19-9水平均明显增高,但两者比较有统计学意义(P<0.01)。MRCP与血清CA19-9联合检查,诊断准确率可达100%。结论 MRCP与血清CA19-9检测联合诊断良、恶性梗阻性黄疸能提供精确的定位和定性诊断。
Objective To evaluate the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) and tumor markers in obstructive jaundice. Methods One hundred and fifteen patients with obstructive jaundice were examined by high field MRCP. Serum levels of CA19-9 were also measured. Results The accuracy of MRCP in the diagnosis of benign and malignant obstructive jaundice was 100%, and the diagnostic accuracy was 85.9% and 86.4% respectively. The levels of CA19-9 in both benign and malignant obstructive jaundice were significantly higher (P <0.01). MRCP and serum CA19-9 joint examination, the diagnostic accuracy of up to 100%. Conclusion MRCP and serum CA19-9 combined detection of benign and malignant obstructive jaundice can provide accurate positioning and qualitative diagnosis.
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