MRCP诊断胆囊管变异的临床价值
The Value and Discussion of Cystic Duct Variation Diagnosed by MRCP
-
摘要: 目的 利用磁共振胆胰管成像 (MRCP) 观察胆囊管的正常解剖及变异, 探讨胆囊管变异与胆囊结石的相关性.方法 回顾性分析符合纳入标准的371例MRCP检查患者, 比较胆囊管变异与正常胆囊管发生胆囊结石的差异.结果 371例患者出现胆囊管变异63例, 其中22例存在复合变异, 共85个变异点, 变异率为16.98%.胆囊管变异者发生胆囊结石53例, 胆囊管无变异者发生胆囊结石182例.结论 MRCP可清晰显示胆囊管各种变异, 且胆囊管变异患者发生胆囊结石几率较无变异者高.Abstract: Objective To observe the normal anatomy and variation of cystic duct by MRCP, and to explore the correlation between anatomic variation and gallbladder stones. Me thods To have a retrospective analysis of 371 MRCP patients which meet the requirement of imaging, and to compare the differences between anatomic variation and gallbladder stones with normal cystic duct. Re s ults Among 371 patients, 63 had anatomic variations, A among which, 22 had compound variations with 85 variation points in total.The percentage of mutation rate was16.98%. 53 patients with variation of cystic duct had gallbladder stones, and 182 patients without variation of cystic duct had gallbladder stones. Conclus ions MRCP can clearly display different variations of cystic duct, and the patients with variation of cystic duct have higher risks in gallbladder stones than the patients without variations.
-
[1] [1]GRIFFIN N, CHARLES-EDWARDS G, GRANT L A.Magnetic resonancecholangiopancreatography:the ABC of MRCP[J].Insights Imaging, 2012, 3 (1) :11-21. [2] [2]SUDA K.Histopathology of the minor duodenal papilla[J].Dig Surg, 2010, 27 (2) :137-139. [3]张磊, 杨亚英, 杨兑明, 等.口服Dd-DTPA稀释液在2D-MRCP检查中的体内外试验[J].昆明医科大学学报, 2017, 38 (10) :79-81. [4]张磊, 杨亚英, 高敏, 等.口服Gd-DTPA在2D-MRCP胆囊管成像中的应用[J].昆明医科大学学报, 2017, 38 (2) :70-73. [5]靳二虎, 张辉.人体磁共振解剖变异[M].北京:人民军医出版社, 2011:127-130. [6]斯友光, 郑军, 姚周佳, 等.胆囊管的磁共振胰胆管成像分型及临床应用[J].中华肝胆外科杂志, 2015, 21 (10) :706-707. [7] 柏树令, 应大君.系统解剖学[M].第8版.北京:人民卫生出版社, 2015:123. [8]刘念, 黄小华, 董国礼, 等.MRCP对胰胆管系统解剖及变异的临床研究进展[J].川北医学院学报, 2015, 30 (3) :418-422. [9] [9]ZHANG S Y, HUANG X H, JING ZONG Z L, et al.The relationship between anatomic variations of the cystic duct and gallstone:an MRI study[J].Chinese Computed Medical Imaging, 2015, 21 (2) :145-148. [10]李剑兰, 任建英, 张晓红, 等.胰胆管合流异常的MRCP特征及相关异常分析[J].临床和实验医学杂志, 2015, 15 (20) :2057-2059. [11]黄金鑫, 赵中辛.胰胆管合流异常的诊断进展[J].中华肝胆外科杂志, 2012, 18 (3) :232-234. [12] [12]SUN YING, LIANG JUNFU, JIN ERHU, et al.Value of MR cholangiopancreatography in diagnosis of low confluence of cystic duct (report of 30 cases) [J].J Med Imaging, 2015, 25 (3) :481-484. [13] [13]EJAZ A, SPOLVERATO G, KIM Y, et al.Long-term health-related quality of life after Iatrogenic bile duct injury repair[J].J Am Coll Surg, 2014, 219 (5) :524-537. [14]黄乘龙, 蒋怡帆, 王运兵, 等.腹腔镜胆囊切除术3265例胆囊管变异的临床总结[J].局解手术学杂志, 2015, 24 (1) :79-82. [15] [15]KIM N S, JIN H Y, KIM E Y, et al.Cystic duct variation detected by near-infrared fluorescent cholangiography during laparoscopic cholecystectomy[J].Ann Surg Treat Res, 2017, 92 (1) :47-50. [16]岳欣, 章维, 赵新湘.MRCP诊断副肝管变异在胆道术中的临床价值[J].世界最新医学信息文摘, 2016, 16 (34) :63.
点击查看大图
计量
- 文章访问数: 1432
- HTML全文浏览量: 536
- PDF下载量: 70
- 被引次数: 0