先天性胆总管囊肿的MRCP诊断  

MRCP diagnosis in choledochal cysts

作　　者：周莺[1] 李玉华[1] 徐彬[1] 朱铭[1] 

机构地区：[1]上海第二医科大学新华医院上海儿童医学中心放射科,上海200127

出　　处：《上海第二医科大学学报》2004年第10期856-858,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的 探讨利用磁共振胰胆管成像(MRCP)的方法对先天性胆总管囊肿进行诊断。方法 对23例经手术及临床证实的,应用MRCP方法诊断先天性胆总管囊肿的病例进行回顾性分析。其中男性5例,女性18例。最大年龄15岁8个月,最小年龄5个月。用T2加权自旋回波序列,并应用MIP重建技术作MRCP检查,分析其扩张胆管的部位及程度,并应用Todani分型法进行分型。结果 23例用MRCP方法诊断为先天性胆总管囊肿并进行分型的病例,其检查结果与手术结果一致。其中,Ⅰ型10例,Ⅱ型1例,ⅣA型11例,Ⅴ型1例。结论 MRCP检查胰胆管影像学诊断技术具有无创伤性、无需造影剂、快速简便的优点,是诊断先天性胆总管囊肿的一种理想方法。Objective To discuss the value of magnetic resonance cholangiopancreatography( MRCP) in the diagnosis of choledochal cysts. Methods Twenty-three patients with choledochal cysts diagnosed by MRCP were reviewed. All cases were identified by operation and pathology. There were 5 male, and 18 female. The oldest was 15 years 8 months and the youngest was 5 months. We used T2-weighted spin echo sequence and MIP reconstruction , analysed the location and degree of the dilation, and classified according to Todani. Results The results of 23 cases diagnosed by MRCP were assessed according to the operation; 10 were in type Ⅰ , 1 in type Ⅱ , 11 in type ⅣA and 1 in type Ⅴ. Conclusion MRCP is a rapid simple method to diagnose choladochal cysts, it need't injection and causes no injury. And it is an ideal method for the diagnosis of choledochal cysts.

关 键 词：诊断 MRCP 先天性胆总管囊肿 分型 年龄 检查结果 手术结果 病例 利用 重建技术 

分 类 号：R445.2[医药卫生—影像医学与核医学]