Vaníček J, Kyselová H, Kianička B, Mikulicová R, Bajgarová B, Trna J, Souček M, Riháček I, Spác J
Klinika zobrazovacich metod Lekarske fakulty MU a FN u sv. Anny Brno, Mezinarodni centrum klinickeho vyzkumu FN u sv. Anny Brno.
Vnitr Lek. 2013 May;59(5):357-60.
Choledocholithiasis is the most common cause of biliary obstruction. Each of the testing methods used in its diagnosis has its advantages and disadvantages.
The objective of this prospective study is to compare endoscopic retrograde cholangiopancreatography with magnetic resonance cholangiopancreatography in the diagnosis of choledocholithiasis on the basis of own experience and literature data. Set of patients and methodology: The set was studied from the beginning of 2007 to the end of 2012 (i.e. six years). The study assessed prospectively 45 patients (age range 28- 72 years) with symptoms of biliary obstruction, who first underwent magnetic resonance cholangiopancreatography and subsequently endoscopic retrograde cholangiopancreatography.
The sensitivity, specificity and diagnostic accuracy of magnetic resonance cholangiopancreatography was lower, both in our set of patients and according to the literature data, compared to the endoscopic retrograde cholangiopancreatography (92%, 91% or 93 %).
Considering the frequency of complications (in some cases serious ones) following endoscopic retrograde cholangiopancreatography, the magnetic resonance cholangiopancreatography is, in spite of its lower sensitivity, the method of choice in the diagnosis of choledocholithiasis by means of noninvasive methods, on the basis of which it is possible to refer the patients subsequently for therapeutic endoscopic retrograde cholangiopancreatography.
胆总管结石是胆道梗阻最常见的原因。其诊断中使用的每种检测方法都有其优缺点。
这项前瞻性研究的目的是根据自身经验和文献数据，比较内镜逆行胰胆管造影术与磁共振胰胆管造影术在胆总管结石诊断中的效果。患者组及方法：该组研究时间为2007年初至2012年底（即六年）。该研究前瞻性评估了45例有胆道梗阻症状的患者（年龄范围28 - 72岁），这些患者先接受磁共振胰胆管造影术，随后接受内镜逆行胰胆管造影术。
与内镜逆行胰胆管造影术（92%、91%或93%）相比，无论是在我们的患者组还是根据文献数据，磁共振胰胆管造影术的敏感性、特异性和诊断准确性都较低。
考虑到内镜逆行胰胆管造影术后并发症（在某些情况下为严重并发症）的发生率，尽管磁共振胰胆管造影术敏感性较低，但作为一种非侵入性方法，它仍是胆总管结石诊断的首选方法，在此基础上可随后将患者转至治疗性内镜逆行胰胆管造影术。
