CAJ | 학술논문

目的：探讨经皮肝穿刺胆道造影(percutaneous transhepatic cholangiography,PTC)在胆管黏液性囊腺瘤(hepatobiliary mucinous cystadenoma)诊断中的作用,提高本病的诊断水平。方法总结2004-01~2014-06收治的10例病理诊断为肝内胆管黏液性囊腺瘤的临床表现、影像学和PTC特点,回顾性分析PTC在胆管黏液性囊腺瘤诊断中的作用。结果10例肝脏囊腺瘤患者中MRI或CT见肝内部分胆管和胆总管扩张,无明显占位；6例行PTC显示胆总管不显影或显影不全,经抽吸出胶冻状物质后胆总管显影。结论肝胆管黏液性囊腺瘤PTC表现有特殊性,具有较高的诊断价值。
목적：탐토경피간천자담도조영(percutaneous transhepatic cholangiography,PTC)재담관점액성낭선류(hepatobiliary mucinous cystadenoma)진단중적작용,제고본병적진단수평。방법총결2004-01~2014-06수치적10례병리진단위간내담관점액성낭선류적림상표현、영상학화PTC특점,회고성분석PTC재담관점액성낭선류진단중적작용。결과10례간장낭선류환자중MRI혹CT견간내부분담관화담총관확장,무명현점위；6례행PTC현시담총관불현영혹현영불전,경추흡출효동상물질후담총관현영。결론간담관점액성낭선류PTC표현유특수성,구유교고적진단개치。
Objective To explore the value of percutaneous transhepatic cholangiography( PTC) in the diagnosis of hepatobiliary muti-nous cystadenoma( HMC) . Methods The clinical data of 10 HMC patients from January 2004 to June 2014 were analyzed retrospec-tively,including clinical manifestation,imaging and PTC features. Results MRI and CT results of 10 cases showed part of dilated bile capillary and common bile duct,and no obvious space-occupying lesion. The PTC of 6 cases showed the common bile duct incomplete imaging or no imaging,but the imaging was seen after the Jelly substance was pumped out. Conclusion The hepatobiliary mucinous cystadenoma has specific manifestation of PTC,which is valuable in the diagnosis.