世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2014年
15期
162-163
,共2页
十二指肠乳头%腺癌%壶腹周围癌%Mri
十二指腸乳頭%腺癌%壺腹週圍癌%Mri
십이지장유두%선암%호복주위암%Mri
duodenal papilla%adenocarcinoma%Peri-ampullary%Mri
目的:探讨十二指肠乳头腺癌的 Mri 表现。方法回顾性分析2010年1月1日至2013年6月1日间我院行腹部Mri 检查的连续性病例,共收集病理诊断为十二指肠乳头腺癌者12例(男:女=7:5,年龄48岁~68岁、平均56.4岁)。临床以全身或皮肤巩膜黄染、上腹痛等就诊。所有病人行 Ge 1.5t Mri 检查前均签署知情同意书,扫描包括梯度回波t1加权、单次激发快速自旋回波 t2加权、MrcP、3d-laVa 动态增强扫描。在 Mr 工作站上观察胰胆管梗阻平面,十二指肠壁是否增厚、十二指肠乳头部是否增大及信号增强特征;肝内外胆管扩张情况;胆囊是否增大,胆囊壁有否增厚和强化特征;主胰管扩张情况,胆总管和主胰管扩张程度是否成比例(计数胆总管最大直径/主胰管最大直径的比值)。结果12例十二指肠乳头腺癌表现十二指肠乳头结节状增大伴静脉期/延迟期强化和十二指肠壁局限性环状增厚累及十二指肠乳头者占66.7%(8/12),表现胰头钩突肿块者占25%(3/12),表现胆总管下段近乳头部结节状影伴强化者占8.3%(1/12)。胰胆管梗阻于十二指肠乳头部者占83.3%(10/12)。肝内外胆管扩张占91.7%(11/12),主胰管扩张占83.3%(10/12);胆总管最大径/主胰管最大径≧5倍者占50%(6/12)。Mri 诊断十二指肠乳头肿瘤正确率为66.7%(8/12)。结论 Mri 诊断十二指肠乳头部肿瘤的准确率较高,十二指肠乳头腺癌具备一些较特异的 Mri征象。
目的:探討十二指腸乳頭腺癌的 Mri 錶現。方法迴顧性分析2010年1月1日至2013年6月1日間我院行腹部Mri 檢查的連續性病例,共收集病理診斷為十二指腸乳頭腺癌者12例(男:女=7:5,年齡48歲~68歲、平均56.4歲)。臨床以全身或皮膚鞏膜黃染、上腹痛等就診。所有病人行 Ge 1.5t Mri 檢查前均籤署知情同意書,掃描包括梯度迴波t1加權、單次激髮快速自鏇迴波 t2加權、MrcP、3d-laVa 動態增彊掃描。在 Mr 工作站上觀察胰膽管梗阻平麵,十二指腸壁是否增厚、十二指腸乳頭部是否增大及信號增彊特徵;肝內外膽管擴張情況;膽囊是否增大,膽囊壁有否增厚和彊化特徵;主胰管擴張情況,膽總管和主胰管擴張程度是否成比例(計數膽總管最大直徑/主胰管最大直徑的比值)。結果12例十二指腸乳頭腺癌錶現十二指腸乳頭結節狀增大伴靜脈期/延遲期彊化和十二指腸壁跼限性環狀增厚纍及十二指腸乳頭者佔66.7%(8/12),錶現胰頭鉤突腫塊者佔25%(3/12),錶現膽總管下段近乳頭部結節狀影伴彊化者佔8.3%(1/12)。胰膽管梗阻于十二指腸乳頭部者佔83.3%(10/12)。肝內外膽管擴張佔91.7%(11/12),主胰管擴張佔83.3%(10/12);膽總管最大徑/主胰管最大徑≧5倍者佔50%(6/12)。Mri 診斷十二指腸乳頭腫瘤正確率為66.7%(8/12)。結論 Mri 診斷十二指腸乳頭部腫瘤的準確率較高,十二指腸乳頭腺癌具備一些較特異的 Mri徵象。
목적:탐토십이지장유두선암적 Mri 표현。방법회고성분석2010년1월1일지2013년6월1일간아원행복부Mri 검사적련속성병례,공수집병리진단위십이지장유두선암자12례(남:녀=7:5,년령48세~68세、평균56.4세)。림상이전신혹피부공막황염、상복통등취진。소유병인행 Ge 1.5t Mri 검사전균첨서지정동의서,소묘포괄제도회파t1가권、단차격발쾌속자선회파 t2가권、MrcP、3d-laVa 동태증강소묘。재 Mr 공작참상관찰이담관경조평면,십이지장벽시부증후、십이지장유두부시부증대급신호증강특정;간내외담관확장정황;담낭시부증대,담낭벽유부증후화강화특정;주이관확장정황,담총관화주이관확장정도시부성비례(계수담총관최대직경/주이관최대직경적비치)。결과12례십이지장유두선암표현십이지장유두결절상증대반정맥기/연지기강화화십이지장벽국한성배상증후루급십이지장유두자점66.7%(8/12),표현이두구돌종괴자점25%(3/12),표현담총관하단근유두부결절상영반강화자점8.3%(1/12)。이담관경조우십이지장유두부자점83.3%(10/12)。간내외담관확장점91.7%(11/12),주이관확장점83.3%(10/12);담총관최대경/주이관최대경≧5배자점50%(6/12)。Mri 진단십이지장유두종류정학솔위66.7%(8/12)。결론 Mri 진단십이지장유두부종류적준학솔교고,십이지장유두선암구비일사교특이적 Mri정상。
Objective To investigate the MRI findings of papillary adenocarcinoma of the duodenum. Methods Patients in our hospital under abdominal Mri examination between January 1,2010 to June 1,2013 were retrospectively analyzed.12 patients of duodenal adenocarcinoma diagnosed by pathology were collected. all patients undergoing Ge 1.5t Mri examination had signed an informed consent form. Bile and pancreatic duct obstruction plane,the thickening duodenal wall and the increased duodenal papilla and the signal enhanced features,the extrahepatic bile duct dilatation,the increased gallbladder and the thickening gallbladder wall and enhanced features,the main pancreatic duct dilatation,the extent of the common bile duct and main pancreatic duct dilatation proportional were observed at Mri workstation. Result in 12 cases of duodenal adenocarcinoma,eight cases(66.7%)performed increased nodular duodenal papilla with delay strengthened and the limit round-like thickening of the duodenal wall duodenal involved duodenal papilla. Bile and pancreatic duct obstruction in the duodenal papilla accounted for 83.3%(10/12),hepatic bile duct dilatation accounted for 91.7%(11/12),increased gallbladder volume accounted for 91.7%(11/12),main pancreatic duct dilatation accounted for 83.3%(10/12),and the maximum diameter of the common bile duct/ maximum diameter of the main pancreatic duct ≧ 5 accounted for 50%(6/12). the accuracy of Mri diagnosis of duodenal papilla cancer accounted for 66.7%(8/12). Conclusion Mri diagnostic accuracy rate for duodenal papilla cancer may be high,and papillary adenocarcinoma of the duodenum had some specific MRI signs.