磁共振胰胆管成像数字定量诊断对Ic型胆总管囊肿的鉴别诊断

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2019-12-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2019.12.006

Xu Chang, Cheng Qing-bao, W. Xiaobing, Luo Xiang-ji, L. Bin, Liu Chen, Jiang Xiaoqing

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引用次数: 0

摘要

目的探讨MRCP数字化定量诊断在Ic型胆总管囊肿鉴别诊断中的应用。方法回顾性分析2010年1月至2016年6月解放军海军医科大学东部肝胆外科医院收治的41例Ic型胆总管囊肿、47例远端胆总管梗阻及43例单纯性胆囊结石或息肉患者的临床资料。测量并比较总胆管、左、右肝管直径。结果左肝管(LHD)、右肝管(RHD)和胆总管(CBD)的最大直径差异有统计学意义(P < 0.05)，而CBD/LHD和CBD/RHD的比值差异有统计学意义(P < 0.05)。i型胆总管囊肿患者发生胰胆管畸形(PBM)的比例显著高于胆总管远端梗阻、单纯性胆结石或息肉患者(P<0.05)。结论Ic型胆总管囊肿患者CBD明显扩张，而LHD和RHD患者CBD无明显扩张。MRCP观察PBM的存在，定量比较CBD/LHD和CBD/RHD比值，有助于对Ic型胆总管囊肿进行鉴别诊断。关键词:胆总管囊肿;MRCP检查;鉴别诊断;数字quanlification

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Magnetic resonance cholangiopancreatography digital quantitative diagnosis in the differential diagnosis of choledochal cyst type Ic

Objective To study the use of MRCP digital quantitative diagnosis in the differential diagnosis of choledochal cyst type Ic. Methods The clinical data of 41 patients with choledochal cyst type Ic, 47 patients with distal choledochal obstruction and 43 patients with simple gallbladder stones or polyps who were treated at the Eastern Hepatobiliary Surgery Hospital, PLA Naval Medical University from January 2010 to June 2016 were retrospectively analyzed. The diameters of the common bile duct, the left and the right hepatic ducts were measured and compared. Results The maximum diameter of the left hepatic duct (LHD), right hepatic duct (RHD) and common bile duct (CBD) were significantly different (all P 0.05), while the ratios of CBD/LHD and CBD/RHD were significantly larger (P 0.05). The proportion of pancreaticobiliary maljunction (PBM) in patients with type Ic choledochal cyst was significantly higher than patients with distal choledochal obstruction and simple gallstone or polyp (P<0.05). Conclusions For patients with choledochal cyst type Ic, their CBD shows obvious dilation, while there is no obvious dilation in LHD and RHD. It is helpful to conduct differential diagnosis of choledochal cyst type Ic by the use of MRCP to observe the presence of PBM and to quantitatively compare the CBD/LHD and CBD/RHD ratios. Key words: Choledochal cyst; MRCP; Differential diagnosis; Digital quanlification

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来源期刊

中华肝胆外科杂志 Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

7101

期刊介绍： Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.