MRCP观察胰胆管合流解剖及意义  

The study of pancreaticobiliary anatomy through magnetic resonance cholangiopancreatography

作　　者：陈风 汤琳[2] 蒋晓飞[3] 徐卫燕 汪健[4] 黄顺根[4] 郭万亮[4] 

机构地区：[1]上海第六人民医院东院普外科,上海200233 [2]南京中医药大学基础医学院,江苏南京210046 [3]复旦大学附属上海市浦东医院普外科,上海201300 [4]苏州大学附属儿童医院普外科,江苏苏州215003

出　　处：《中国临床解剖学杂志》2013年第5期539-542,共4页Chinese Journal of Clinical Anatomy

基　　金：上海市科委专项基金(13140902900);江苏省135工程重点人才项目(2003098);南京中医药大学青年自然科学基金(09XZR03)

摘　　要：目的通过MRCP观察胰胆管合流的解剖,探讨胰胆管合流异常(Pancreaticobiliary maljunction,PBM)的诊断。方法搜集MRCP 954例,观察胰胆管汇合情况及其与十二指肠壁的关系。结果胆总管和胰管均显影的841例,无法观察胰胆管汇合的113例。显影良好的841例中,胰胆管的汇合存在U、V、Y和合流异常4种胰胆管合流方式;其中Y型356例(42.33%,),V型242(28.78%),U型165(19.62%),疑似PBM 78(9.27%)。结论 MRCP可观察胰胆管解剖,确诊PBM还需要其他辅助检查。Objeclive To investigate the pancreaticobiliary anatomy through magnetic resonance cholangiopancreatography. Methods 954 patients who had underwent the examination of magnetic resonance cholangiopancreatography were studied to investigate the pancreaticobiliary anatomy. Results The bile common duct and canals ofwirsung were detected clearly in 841 patients and were not detected in 113 patients. In 841 patients, The types of pancreaticobiliary ductal union were classified into four types, known as ＂Y＂ in 356 specimens （42.33%）, ＂V＂ in 242 specimens （28.78%,＂U＂ in 165 specimens （19.62%） and pancreaticobiliary maljunction type in 78 specimens （9.27%）. Concl^ons The pancreaticobiliary anatomy can be observed by magnetic resonance cholangiopancreatography, however, it cannot make a definite diagnosis to pancreaticobiliary maljunction.

关 键 词：磁共振胰胆管成像 胰胆管解剖 胰胆管合流异常 

分 类 号：R322.48[医药卫生—人体解剖和组织胚胎学]