CAJ | 학술논문

目的：探讨磁共振胰胆管成像（magnetic resonance cholangiopancreatography，MRCP）对胆囊管低位汇合及其并发症的诊断价值。方法：回顾性分析29例MRCP检查发现的胆囊管低位汇合病例，与术中或内镜逆行胰胆管造影（endoscopic retrograde cholangiopancreatography，ERCP）检查结果相对照。结果：MRCP能清晰显示胆囊管汇入位置，并发症包括单纯胆囊结石4例，单纯胆管结石5例，胆囊及胆管均有结石15例，合并Mirizzi综合征3例，合并胰腺炎2例，胆囊切除术后患者合并胰头癌1例，合并乏特氏壶腹癌1例。对照术中或ERCP所见，MRCP术前检查胆囊管低位汇合及其并发症诊断符合率为100%。结论：MRCP可清晰显示胆囊管低位汇合及其并发症，能为术前制订手术方案及并发症处理提供重要信息。
목적：탐토자공진이담관성상（magnetic resonance cholangiopancreatography，MRCP）대담낭관저위회합급기병발증적진단개치。방법：회고성분석29례MRCP검사발현적담낭관저위회합병례，여술중혹내경역행이담관조영（endoscopic retrograde cholangiopancreatography，ERCP）검사결과상대조。결과：MRCP능청석현시담낭관회입위치，병발증포괄단순담낭결석4례，단순담관결석5례，담낭급담관균유결석15례，합병Mirizzi종합정3례，합병이선염2례，담낭절제술후환자합병이두암1례，합병핍특씨호복암1례。대조술중혹ERCP소견，MRCP술전검사담낭관저위회합급기병발증진단부합솔위100%。결론：MRCP가청석현시담낭관저위회합급기병발증，능위술전제정수술방안급병발증처리제공중요신식。
To investigate the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) for di-agnosing low choledochal joint and its complications. MRCP results of 29 low choledochal joint patients con-firmed were analyzed retrospectively, and then compared with those by endoscopic retrograde cholaniopancreatography (ERCP). MRCP could display clearly the location of low choledochal joint, and the patients with complications involved 4 ones with cholecystolithiasis, 5 ones with cholangiolithiasis, 15 ones with cholecystolithiasis and cholangiolithi-asis, 3 ones with Mirizz syndrome, 2 ones with pancreatitis, 1 case with carcinoma of head of pancreas after cholecystec-tomy and 1 case of Vater ampullary carcinoma. Interoperative and ERCP findings proved that MRCP could be used for the diagnosis of low choledochal joint and its complications with no missed diagnosis. MRCP can be involved for the diagnosis of low choledochal joint and its complications, and thus can be used for preoperative planning and treat-ment of the complications.