Caroli病的三维超声及MRCP诊断价值  

The Diagnostic Value of 3-Dimesional Ultrasonography and MRCP in Diagnosis of Caroli Disease

作　　者：徐甫[1] 肖仕琪[1] 黄清南[1] 邱华文[1] 郭文涛[1] 张桓[1] 

机构地区：[1]广东医学院附属深圳市福田人民医院,广东深圳518033

出　　处：《中国医药指南》2012年第21期11-12,共2页Guide of China Medicine

摘　　要：目的探讨Caroli病的三维超声及MRCP表现与诊断价值。方法回顾分析12例Caroli病的三维超声、MRCP资料。12例中均行三维超声及MRCP检查。结果本组5例属Ⅰ型,无合并肝硬化及门脉高压征,但有肝内胆管结石;7例属Ⅱ型,合并肝硬化及门脉高压征。12病例肝内胆管均呈节段性扩张。MRCP表现为多发柱状影,囊状影与轻度扩张的柱状小胆管影及囊状影之间相连通;三维超声运用表面光滑模式或最小回声模式12例均成功重建出感兴趣区的三维图像。结论三维超声与MRCP两者结合,可以达到影像学诊断Caroli病的最佳效果。Objective To study the diagnosis value of 3-Dimesional Ultrasonoaphy and MRCP in diagnosis of Caroli disease. Methods The clinic data of 12 cases of Coli disease was analyzed retrospectively.All patients were detected by 3-Dimesional Ulsonography and MRCP. Results Of 12 patients, 5 cases were type I of Caroli disease with hepatolith, but without hepatic cirrhosis and portal hypertention, 6 cases type II ,all complicated with hepatic cirrhosis and portal hypertension.Intrahepatic bile duct was dilated in all cases, the MRCP imaging paremters of Caroli disease were multiple saccular/ columar dilatation of intrahepatic biliary ducts and communication with each other, all case were examined by 3-Dimensional Ultrasound and then these 3-Dimensional data was reconstructed respectively with the modes of semi transparent, minimum value to get the 3D models of the interested targets. Conclusion The combination of 3-Dimesional Ultrasonography and MRCP obtain the best diagnosis of Caroli disease.

关 键 词：CAROLI病 诊断 三维超声 磁共振胰胆管成像 

分 类 号：R575.6[医药卫生—消化系统]