磁共振胆胰管成像中胆囊三角的解剖关系对预测腹腔镜胆囊切除术难度的价值  

Role of MRCP Imaging of Gallbladder Triangle in Predicting Difficulty of Laparoscopic Cholecystectomy

作　　者：孙荣勋[1] 张华云[1] 吉学生[1] 俞建平[1] 石长青[1] 章勇[1] 李吉[1] 陈润浩[1] 

机构地区：[1]复旦大学附属金山医院普外科放射科,上海200540

出　　处：《中国临床医学》2011年第1期66-68,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨磁共振胆胰管成像(MRCP)中胆囊三角解剖结构的显像对预测腹腔镜胆囊切除术(LC)手术难度的价值。方法:对232例LC病例术前行MRCP检查,记录胆囊管能否显示、胆囊管开口位置、胆囊壶腹和胆囊管的毗邻关系、壶腹部胆囊壁厚度、胆囊壶腹和胆总管的毗邻关系、胆囊颈部有无结石嵌顿、胆囊内有无胆汁,将这些变量与胆囊三角的解剖时间做Logistic回归分析。结果:MRCP中胆囊管显示不清胆囊壶腹和胆囊管的、兔尾型毗邻关系、胆囊管开口于壶腹中份、壶腹部胆囊壁增厚均能提示手术难度增加。结论:MRCP中胆囊三角结构显像能预测LC手术难度。Objective：To evaluate MRCP imaging of gallbladder triangle in predicting difficulty of laparoscopic cholecystectomy.Methods：A total of 232 patients received MRCP examination,and the following data were recorded： presence of cystic duct imaging,location of cystic duct entrance,relationship between cystic ampullae and cystic duct,presence of stone incarceration in cystic cervix,thickness of cystic ampullae wall,relationship between cystic ampullae and common bile duct,presence of bile imaging in cyst.Logistic regression analysis was performed to analyse the dissecting time of gallbladder triangle and above data.Results：The following findings prompt difficult operation that are no imaging of cystic duct,type of rabbit tail of relationship between cystic ampullae and duct,cystic duct stating at the middle of ampullae and thicker ampullae wall.Conclusions： MRCP findings on gallbladder triangle can predict difficulty of LC.

关 键 词：磁共振胆胰管成像 腹腔镜胆囊切除术 胆囊管 胆囊三角 

分 类 号：R445.2[医药卫生—影像医学与核医学]