CAJ | 학술논문

目的分析磁共振胰胆管成像(MRCP)对胆道梗阻性疾病的诊断价值.方法对48例经B超或CT检查怀疑胆道梗阻性疾病患者行MRI平扫及MRCP检查.结果 48例中36例得到手术病理证实,其余12例与临床综合诊断相吻合.良性梗阻21例,其中胆总管结石18例,MRCP表现为梗阻端以上胆总管均匀扩张,肝内胆管均呈枯树枝状扩张.恶性梗阻27例,肝门部胆管癌6例,胆总管癌7例,MRCP表现为梗阻端呈截断征,肝内胆管软藤样扩张;胰头癌8例,壶腹部癌6例,MRCP可见双管征.结论 MRCP安全、简便、无创,结合MRI平扫对胆道梗阻性疾病有很大的诊断价值.
목적 분석자공진이담관성상(MRCP)대담도경조성질병적진단개치.방법 대48례경B초혹CT검사부의담도경조성질병환자행MRI평소급MRCP검사.결과 48례중36례득도수술병리증실,기여12례여림상종합진단상문합.량성경조21례,기중담총관결석18례,MRCP표현위경조단이상담총관균균확장,간내담관균정고수지상확장.악성경조27례,간문부담관암6례,담총관암7례,MRCP표현위경조단정절단정,간내담관연등양확장;이두암8례,호복부암6례,MRCP가견쌍관정.결론 MRCP안전、간편、무창,결합MRI평소대담도경조성질병유흔대적진단개치.
Objective To analyse the MRCP for biliary obstructive disease diagnostic value.Methods Of 48 patients with B-mode uhrasonography or CT to check on suspected obstructive biliary disease in patients with MRI scan and MRCP examination.Results Forty-eisht cases received surgery in 36 cases of pathologically confirmed and 12 cases with clinical diagnosis coincided general.Twenty-one cases of benign obstruction:18 cases of choledocholithiaais,MRCP showed bile duct obstruction client evenly over the expansion of intrahepatic bile ducts were dry dendritic expansion.27 cases of malignant obstructive:6 cases were hilar cholangiocarcinoma,7 cases were bile duct cancer,MRCP showed obstructive symptoms side was cut off,soft rattan intrahepatic bile duct dilation;8 cases of pancreatic cancer,6 cases of ampullary carcinoma,MRCP can be seen double-barreled levy.Conclosions MRCP safe,simple and noninvaaive,combined with MRI scan of the biliary obstructive disease have great diagnostic value.