Department of Gastroenterology, Medical Teaching Institute, Lady Reading Hospital, Peshawar, Pakistan.
J Pak Med Assoc. 2022 Feb;72(2):284-286. doi: 10.47391/JPMA.20-721.
To compare the findings of magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography in patients presenting with bile duct disorders.
The retrospective secondary-data study was conducted at the Gastroenterology Department of Lady Reading Hospital, Peshawar, Pakistan, and comprised data of patients who presented with bile duct disorders from June2019 to May2020. Data was analysed using SPSS 25.
Of the 92 patients, 41(44.6%) were males and 51(55.4%) were females. The overall mean age was 50.12 ± 16.7 years (range: 13-80 years). Out of 28 bile duct calculi cases detected by endoscopic retrograde cholangiopancreatography, 25(89.3%) were detected by magnetic resonance cholangiopancreatography, and, of the 64 without calculi, it was 50(78.1%). Out of 8 bile duct strictures detected by endoscopic retrograde cholangiopancreatography, 3(37.5%) were correctly diagnosed by magnetic resonance cholangiopancreatography, and, of the 84 unaffected patients, were excluded 79(94%). Out of 64 bile duct dilatation cases, magnetic resonance cholangiopancreatography correctly diagnosed 59(92.2%), and, of the 28 unaffected patients, it excluded 27(96.4%).
For bile duct stone and dilation, magnetic resonance cholangiopancreatography was found to have high diagnostic accuracy.
比较磁共振胰胆管成像和内镜逆行胰胆管造影在胆管疾病患者中的发现。
本回顾性二次数据分析研究在巴基斯坦白沙瓦 Lady Reading 医院的胃肠病学部进行，纳入了 2019 年 6 月至 2020 年 5 月期间因胆管疾病就诊的患者数据。使用 SPSS 25 对数据进行分析。
92 例患者中，41 例（44.6%）为男性，51 例（55.4%）为女性。总体平均年龄为 50.12±16.7 岁（范围：13-80 岁）。在 28 例经内镜逆行胰胆管造影术检测到的胆管结石病例中，25 例（89.3%）被磁共振胰胆管成像术检测到，而在 64 例无结石的病例中，50 例（78.1%）被检测到。在 8 例经内镜逆行胰胆管造影术检测到的胆管狭窄病例中，3 例（37.5%）被磁共振胰胆管成像术正确诊断，而在 84 例未受影响的患者中，有 79 例（94%）被排除在外。在 64 例胆管扩张病例中，磁共振胰胆管成像术正确诊断了 59 例（92.2%），而在 28 例未受影响的患者中，有 27 例（96.4%）被排除在外。
对于胆管结石和扩张，磁共振胰胆管成像术具有较高的诊断准确性。
