ObjectiveTo study the diagnostic value of imaging examinations and their accuracy in evaluating the malignant obstructive jaundice and their resectability. MethodsThe clinical data of 674 malignant obstructive jaundice within 10 years were collected and analyzed.ResultsFor BUS, CT, PTC, ERCP and MRCP, the preoperative accuracy in malignant obstructive jaundice were 74.0%, 86.5%, 88.4%, 92.9% and 94.0%, while the ratio of actual removals in those who had been assessed removable preoperatively were 63.4%, 68.5%, 86.8%, 87.3% and 93.9%, respectively. Conclusion MRCP， PTC, CT and ERCP are better than BUS in the diagnosis of malignant obstructive jaundice (P＜0.05 vs. P＜0.01), while MRCP，ERCP and PTC are much better than BUS and CT in evaluating resectability (P＜0.01). Combination of two or more imaging examinations can improve the accuracy of preoperative diagnosis and assessing resectability.
Citation：
LI Haimin,DOU Kefeng,ZHOU Jingshi,et al.. Evaluation of Imaging Examinations in Diagnosis of Malignant Obstructive Jaundice. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(5): 342-344. doi:
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- 1. Choi BI,Lee JH,Han MC,et al. Hilar cholangiocarcinoma: comparative study with sonography and CT [J]. Radiology, 1989； 172(3)∶689.
- 2. 吕明德. 超声对梗阻性黄疸的诊断价值及应用选择 [J].中国实用外科杂志,2001； 21(8)∶454.
- 3. Looser C, Stain SC, Baer HU, et al. Staging of Hilar cholangiocarcinoma by ultrasound and duplex sonography: a comparison with angiography and operative findings [J]. Br J Radiol, 1992； 65(778)∶871.
- 4. 李海民, 周景师, 窦科峰, 等. 肝门部胆管癌影像学诊断及可切除性的评估 [J].中华肝胆外科杂志,2001； 7(12)∶728.
- 5. 刘荣波，严志汉，周翔平，等. 螺旋CT双期薄层扫描对胰头癌可切除性的评估 [J].中国普外基础与临床杂志,2000； 7(5)∶334.
- 6. 任克, 吴伯文. CT、MRI、MRCP在恶性梗阻性黄疸诊断中的应用及选择 [J].中国实用外科杂志,2001； 21(8)∶455.
- 7. 孙家邦. 早期胰头癌的诊断和治疗 [J].中国普外基础与临床杂志,2000； 7(6)∶388.
- 8. 窦科峰. 肝门部胆管癌的综合治疗 [J]. 中国实用外科杂志,1998； 18(6)∶334.
- 9. 蔡秀军, 虞洪, 宋向阳, 等.磁共振胰胆管造影在阻塞性黄疸诊断中的应用 [J]. 中国普外基础与临床杂志,2000； 7(6)∶377.
- 10. 黄志强. 梗阻性黄疸临床诊断的进展 [J]. 中国实用外科杂志,2001； 21(8)∶449.
