CAJ | 학술논문

目的：探讨肝硬化门静脉高压性胆病（PB）的 MSCT 及 MRI 表现。方法：回顾性分析16例肝硬化PB患者的 MSCT及 MRI表现，分析门静脉血栓导致PB的解剖位置和临床表现。结果：16例患者中门静脉海绵样变13例，其中8例合并门静脉血栓；门静脉和／或门静脉分支血栓3例。16例患者中3例表现为肝内胆管扩张，9例表现为肝外胆管及一侧肝内胆管扩张，4例表现为肝外胆管和两侧肝内胆管扩张。本组病例门静脉系统侧支循环的类型包括食道-胃底静脉曲张13例（13／16，81％）、胰腺周围静脉曲张10例（10／16，63％）和胆囊静脉曲张10例（10／16，63％）。结论：肝硬化门静脉高压患者出现肝外或肝内胆管扩张时应考虑门静脉高压性胆病的可能。
목적：탐토간경화문정맥고압성담병（PB）적 MSCT 급 MRI 표현。방법：회고성분석16례간경화PB환자적 MSCT급 MRI표현，분석문정맥혈전도치PB적해부위치화림상표현。결과：16례환자중문정맥해면양변13례，기중8례합병문정맥혈전；문정맥화／혹문정맥분지혈전3례。16례환자중3례표현위간내담관확장，9례표현위간외담관급일측간내담관확장，4례표현위간외담관화량측간내담관확장。본조병례문정맥계통측지순배적류형포괄식도-위저정맥곡장13례（13／16，81％）、이선주위정맥곡장10례（10／16，63％）화담낭정맥곡장10례（10／16，63％）。결론：간경화문정맥고압환자출현간외혹간내담관확장시응고필문정맥고압성담병적가능。
Objective:The aim of the study was to determine the imaging features of portal biliopathy (PB)in patients with liver cirrhosis.Methods:A retrospective study of 16 patients who underwent MDCT and MRI scan for PB was conduc-ted,and the anatomic and clinical features in PB patients with chronic portal vein thrombosis were analyzed.Results:Of the sixteen cases,there was portal vein cavernous transformation in 13 cases,including 8 cases with the portal vein and/or portal vein branch thrombosis.The portal vein thrombosis and/or portal vein branch thrombosis was shown in 3 cases.In addi-tion,intrahepatic bile duct dilation was shown in 3 cases,extrahepatic bile duct and single branch of intrahepatic bile duct di-lation in 9 cases,extrahepatic bile duct and two branches of intrahepatic bile duct dilation in 5 cases.As to the portal vein system collateral circulation,there were gastroesophageal varices in 13 cases,peripancreatic varices in 10 cases,and cystic vein varices in 10 cases.Conclusion:When patients with portal hypertension who have features of extra- and intrahepatic bile duct dilation,the portal biliopathy should be suspected as a possible diagnosis.