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作 者:季云海[1] 王绍波[1] 佘波[1] 李炜[1] 王绘芬
机构地区:[1]云南省第一人民医院PET/CT中心,昆明650032 [2]云南省宣威市第二人民医院放射科,云南宣威655400
出 处:《重庆医学》2016年第4期498-500,共3页Chongqing medicine
摘 要:目的分析十二指肠憩室(DD)的多层螺旋CT(MSCT)表现,探讨其与胆胰疾患的相关性。方法回顾性分析62例胃镜和(或)上消化道造影证实的DD患者腹部MSCT表现,比较十二指肠乳头旁憩室(JDD)及十二指肠其他部位憩室(NJDD)胆胰疾患的发病率。结果 62例患者中,MSCT发现DD 67个,均表现为突出于十二指肠腔的囊袋状影,41个表现为含液气影,19个为单纯含气影,3个为单纯含液影,4个为含食物残渣影。63个憩室壁薄,4个合并感染壁增厚伴强化。46例诊断为JDD;16例为NJDD。JDD的胆管、胆囊及胰腺疾患发病率均高于NJDD,分别为47.83%和18.75%(P<0.05)、43.48%和12.50%(P<0.05)及21.74%和12.50%(P>0.05)。结论 MSCT检查有助于DD及其并发症的检测;JDD比NJDD更易伴发胆胰疾患。Objective To analyze the MSCT manifestations of duodenal diverticula(DD)and to investigate their relationship with pancreaticobiliary diseases.Methods The abdominal MSCT manifestations in 62 patients with DD verified by the gastroscopy and/or upper gastroenterography were retrospectively reviewed and the morbidity rates of pancreaticobiliary diseases were compared between the juxtapapillary duodenal diverticula(JDD)and non-juxtapapillary duodenal diverticula(NJDD).Results Among62 cases,67duodenal diverticula were found out by MSCT,which were manifested by the saccular shadow protruding into duodenal cavity,Forty-one diverticula were manifested by the shadow containing liquid and air,19 diverticula were simple air-containing shadow,3diverticula were simple liquid-containing shadow and 4diverticula were the shadow containing food debris.Sixty-three diverticula showed thin wall,and 4infection diverticula showed thick wall with contrast enhancement.Forty-six cases were diagnosed as JDD and 16 cases as NJDD.The occurrence rates of bile duct,gall bladder and pancreas diseases in JDD were higher than those in NJDD,which were 47.83% vs.18.75%(P〈0.05),43.48%vs.12.50%(P〈0.05)and 21.74% vs.12.50%(P〈0.05)respectively.Conclusion MSCT conduces to detect the duodenal diverticulum and its complications,and JDD is easier to be accompanied by the pancreaticobiliary disease than NJDD.
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