Ali Fahad, Akhter Waseem, Arshad Muhammad
Department of Radiology, Aga Khan University Hospital Karachi.
J Pak Med Assoc. 2016 Jan;66(1):27-9.
To evaluate the role of Magnetic Resonance Cholangio-pancreatography in the diagnosis of biliary disorders in children.
The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised data related to the period between August 2005 and December 2013. All children from age of 1 day to 17 years who had undergone Magnetic Rasonance Cholangio-pancreatography examination for suspected pancreaticobiliary disorders were included. Clinical presentation, Magnetic Rasonance Cholangio-pancreatography findings, operative findings and histopathological results were recorded. Sensitivity and specificity of Magnetic Rasonance Cholangio-pancreatography for different diseases was worked out.
Of the 50 patients in the study, 12(24%) showed findings of choledochal cyst. Of these patients, 11(91.6%) underwent surgery and operative findings were consistent with choledochal cyst. Only 1(8.3%) who was assessed as biliary atresia was found to have choledochal cyst on surgery Magnetic Resonance Cholangio-pancreatography was found to be 91% sensitive and 100% specific for diagnosis of choledochal cyst with diagnostic accuracy of 98%.
Magnetic Resonance Cholangio-pancreatography is a very accurate non-invasive investigation for the diagnosis of biliary disorders.
评估磁共振胰胆管造影在儿童胆道疾病诊断中的作用。
本回顾性研究在卡拉奇的阿迦汗大学医院进行，纳入了2005年8月至2013年12月期间的相关数据。纳入所有年龄在1天至17岁之间因疑似胰胆管疾病接受磁共振胰胆管造影检查的儿童。记录临床表现、磁共振胰胆管造影结果、手术结果和组织病理学结果。计算磁共振胰胆管造影对不同疾病的敏感性和特异性。
研究中的50例患者中，12例（24%）显示胆总管囊肿的表现。其中11例（91.6%）接受了手术，手术结果与胆总管囊肿一致。仅1例（8.3%）术前评估为胆道闭锁的患者在手术中发现为胆总管囊肿。磁共振胰胆管造影诊断胆总管囊肿的敏感性为91%，特异性为100%，诊断准确性为98%。
磁共振胰胆管造影是诊断胆道疾病的一种非常准确的非侵入性检查方法。
