CAJ | 학술논문

目的：探讨MR平扫及MR胆胰管造影(MRCP)联合应用在壶腹区域疾病中的诊断价值。材料与方法应用MR平扫及MRCP检查方法诊断51例壶腹区域病变，并与ERCP及手术病理结果对照。常规MRI包括轴面(T1WI、T2WI、T2WI+FS)，冠状面(T2WI)；MRCP包括3D MRCP和2D MRCP多角度厚块MRCP检查。结果壶腹癌4例，胰头癌13例，下段胆管癌9例，十二指肠乳头癌1例，结石19例，炎症改变5例。结论 MRI联合MRCP检查，能清晰显示壶腹区域病变部位、范围、梗阻程度及性质，在壶腹区域病变诊断及鉴别诊断中有重要价值。
목적：탐토MR평소급MR담이관조영(MRCP)연합응용재호복구역질병중적진단개치。재료여방법응용MR평소급MRCP검사방법진단51례호복구역병변，병여ERCP급수술병리결과대조。상규MRI포괄축면(T1WI、T2WI、T2WI+FS)，관상면(T2WI)；MRCP포괄3D MRCP화2D MRCP다각도후괴MRCP검사。결과호복암4례，이두암13례，하단담관암9례，십이지장유두암1례，결석19례，염증개변5례。결론 MRI연합MRCP검사，능청석현시호복구역병변부위、범위、경조정도급성질，재호복구역병변진단급감별진단중유중요개치。
Objective: To assess the value of magnetic resonance cholangiopan-creatography (MRCP) combind with MRI sequence in the diagnosis of ampullar area focus.Materials and Methods: Fifty-one patients with the ampullar area focus, which were examined by MRI combined with MRCP. ERCP, ultrasonography and pathology, and all the reports were compared with other examinations. Conventional MRI includes axil (T1WI, T2WI, T2WI+FS), coronal(T1WI). MRCP examination includes 3D and 2D MRCP examination.Result:MRI combined with MRCP scan demonstrated 4 cases of ampullar cancer, 13 cases of pancreatic head cancer, 9 cases of lower bile duct cancer,1 case of duodenum papilla cancer, 19 cases of calculus, 5 cases of inflammation.Conclusions:MRCP combined with MRI has a high value in the diagnosis and differential diagnosis of ampullar area focus, it can not only demonstrate the location and the range of ampullar area focus, but also can make the degree of straitness and the character clear.