磁共振胰胆管造影的临床应用  

The Clinical Application of MR Cholangiopancreatography

作　　者：韩悦[1] 廉宗澂[1] 张兆琪[1] 陈万青[1] 鄂正刚 

机构地区：[1]天津医科大学第二医院放射科MR室,300211

出　　处：《天津医药》1999年第10期593-595,共3页Tianjin Medical Journal

摘　　要：目的：探讨磁共振胰胆管造影（ＭＲＣＰ）的临床应用价值。方法：应用半傅立叶转换自旋回波序列（ＦＡＳＥ），重Ｔ２加权，对４１例胰胆管疾病患者行ＭＲＣＰ检查。结果：４１例中２４例经手术和病理证实（５８．５％），其中胆管癌９例，壶腹癌６例，胆总管结石４例，胰头癌４例，慢性胰腺炎１例。余１７例未手术，属临床诊断（４１．５％），其中硬化性胆管炎单凭ＭＲＣＰ难以诊断。结论：ＭＲＣＰ可清楚显示胰胆管的形态，对梗阻部位的确定及胰胆管扩张程度的评价可靠性强，但空间分辨力低，不能显示细小的狭窄。To evaluate the clinical application of MR cholangiopancreatograph y (MRCP). Methods: MRCP of 41 patients with pancreaticobiliny duct diseases was performed by using heavily T2 weighted half-fourier fast acquision spine-echo (FASE)sequences. Result: 24 of 41 patients(58. 5 % ) were proved by surgery and pathology, including cholangiocarcinoma (n = 9), ampullary carcinoma (n = 6 ), choledo cholithiasis(n = 4 ), pancreatic carcinoma(n = 4 ) and chronic pancreatitis(n = 1 ). 17 patients(41. 5% )were diagnosed by clinic. The sclerosing cholangeitis was difficult to diagnose only by MRCP. Conclusion: The imaging of pancreaticobiliary duct was shown of clearly by MRCP. To comfirm the obstructed site and evaluate the dilatation of the pancreaticobiliary duct, MRCP was reliable. The fine strictures of pancreaticobiliary duct were not visible because of spacial resolution.

关 键 词：磁共振成像 胰腺疾病 胆管疾病 胰胆管造影术 

分 类 号：R575.704[医药卫生—消化系统] R445.2[医药卫生—内科学]