胰腺分裂二例报告及文献复习  

A Report of Two Cases of Pancreas Divisum with Literature Review

作　　者：何金龙[1] 牛广明[1] 韩晓东[1] 

机构地区：[1]内蒙古医科大学附属医院磁共振室,呼和浩特010050

出　　处：《临床放射学杂志》2013年第7期1057-1059,共3页Journal of Clinical Radiology

摘　　要：目的探讨胰腺分裂形成过程及诊疗水平、策略和方法。方法回顾分析2012年8月至10月我院收治的2例胰腺分裂,总结其发生过程、影像学表现及目前治疗方法。结果 2例胰腺分裂均伴有胰头囊肿。磁共振胰胆管成像(MRCP)能清晰显示胆总管、背、腹胰管与及十二指肠的关系。2例中,1例给予胃肠减压,对症、支持治疗,腹痛症状消失;另1例给予内镜逆行性胰胆管造影(ERCP)并十二指肠主乳头切开减压,症状缓解,建议隔期复查。结论胰腺分裂影像学表现具有明显特征性;MRCP对胰腺分裂诊断具有明显优势;胰腺分裂治疗需综合评价病例特点选择最佳治疗方法。Objective To investigate the formation process, diagnosis and treatment of pancreas divisum. Methods Two cases of pancreas divisum from August 2012 to October 2012 were analyzed retrospectively. Imaging findings, formation process and current treatment methods were summerized. Results Cyst was found respectively at head of the pancreas in two cases. The relationship of common bile duct, dorsal and ventral pancreas duct and the duodenum were clearly displayed by magnetic resonance pancreatography （MRCP）. Abdominal pain of one case disappeared after treating with gastrointesti- nal decompression, symptomatic and support treatment; another case was treated with endoscopic retrograde pancreatogra- phy （ERCP） and duodenum main nipple incision. Patient symptoms was relieved and recommended review at every period. Conclusion Pancreas divisum has characteristic imaging findings. MRCP has obvious advantages on diagnosing pancreas divisum. The treatment of pancreas divisum should be provided a comprehensive evaluation according to case features and make the best choice.

关 键 词：胰腺分裂 磁共振胰胆管成像 内镜逆行性胰胆管造影 治疗方法 

分 类 号：R816.5[医药卫生—放射医学]