MRCP联合CA19-9检测对外科梗阻性黄疸诊断价值的探讨

外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (1): 36-40.

MRCP联合CA19-9检测对外科梗阻性黄疸诊断价值的探讨

唐俊军, 黄宗良, 郑少强, 王国良

同济大学附属同济医院医学影像科, 上海 200065

出版日期:2013-03-28 发布日期:2013-01-25
作者简介:唐俊军(1978-), 男, 上海人, 主治医师, 大学本科, 研究腹部CT及MR的影像诊断。E-mailshtjj400@sina.com

The value of combination of MRCP and CA19-9 in clinical diagnosis of surgical obstructive jaundice

TANG Jun-jun, HUANG Zhong-liang, ZHENG Shao-qiang, WANG Guo-liang

Department of Radiology,Tongji Hospital,Tongji University School of Medicine,Shanghai 200065, China

Online:2013-03-28 Published:2013-01-25

摘要/Abstract

摘要： 目的探讨磁共振胰胆管成像(MRCP)联合CA19-9对外科梗阻性黄疸的诊断价值。方法回顾性分析经手术及病理证实的梗阻性黄疸患者资料94例,全部病例均行siemens 3T MRCP检查及CA19-9检测。结果 CA19-9、MRCP、CA19-9和MRCP联合检测对于恶性梗阻性黄疸的诊断敏感性分别为76.3%、83.8%、94.7%,对于良性梗阻性黄疸的诊断敏感性分别为30.4%、91.1%、92.9%。结论 MRCP和血清CA19-9检测诊断梗阻性黄疸各有优势和不足,二者联合可以很好地提高诊断的正确率,MRCP和CA19-9互补,可作为梗阻性黄疸的病因诊断较为有价值的可靠方法。

关键词: 磁共振成像, 胰胆管成像, CA19-9, 联合检测, 梗阻性黄疸

Abstract: Objective To evaluate the value of MRCP combined with CA19-9 in diagnosis of surgical obstructive jaundice.Methods The clinical data of 94 patients with surgical obstructive jaundice were analyzed.Results The correct diagnostic rates of each patient in finding causes of obstructive jaundice,CA19-9 were 76.3% and 30.4%,MRCP 83.8% and 91.1%,CA19-9 combined with MRCP were 94.7% and 82.9%.Conclusion MRCP and CA19-9 have their own advantages and disadvantages in diagnosing surgical obstructive jaundice.The combination can significant raise the accuracy of diagnosis.As complementary to each other,MRCP and CA19-9 together can provide reliable etiologic diagnosis for suspicious obstructive jaundice.

Key words: Magnetic resonance imaging, Cholangiopancreatography, CA19-9, Combined examination, Obstructive jaundice

中图分类号:

R575

唐俊军, 黄宗良, 郑少强, 王国良. MRCP联合CA19-9检测对外科梗阻性黄疸诊断价值的探讨[J]. 外科研究与新技术, 2013, 2(1): 36-40.

TANG Jun-jun, HUANG Zhong-liang, ZHENG Shao-qiang, WANG Guo-liang. The value of combination of MRCP and CA19-9 in clinical diagnosis of surgical obstructive jaundice[J]. 外科研究与新技术, 2013, 2(1): 36-40.

[1]	魏玉华, 施宝民. 间充质干细胞治疗肝病的研究进展[J]. 外科研究与新技术, 2020, 9(2): 105-109.
[2]	张东伟, 杨长青. 肝硬化上消化道出血和幽门螺杆菌感染临床研究[J]. 外科研究与新技术, 2019, 8(2): 94-96.
[3]	唐俊军，黄宗良，王国良，王培军. 螺旋CT对正常胃的研究应用价值[J]. 外科研究与新技术, 2013, 2(3): 155-158.
[4]	孙伟，范跃祖，张文忠，葛春燕. 生成拟态和不良预后的意义[J]. 外科研究与新技术, 2013, 2(2): 73-86.
[5]	孙伟, 范跃祖, 张文忠, 葛春艳. 胆囊癌血管生成拟态,缺氧诱导因子1α和血管内皮生长因子表达及其与临床预后的关系[J]. 外科研究与新技术, 2012, 1(1): 27-41.
[6]	白珊珊, 王彦双, 张晓燕, 何雅军. 护肝解纤汤对肝纤维化相关因子的影响[J]. 外科研究与新技术, 2017, 6(2): 87-90.