胆囊管变异不同类型与胆囊结石相关性的MRCP研究  

MRCP Study on the Correlation between Gallbladder Stones and Different Types of Gallbladder Duct Variation

作　　者：刘新亮 李洪义 包权 洪静静 邢健 胡明成 王云 LIU Xing-liang;LI Hong-yi;BAO Quan(Department of Postgraduate,Mudanjiang Medical College Imaging College,Mudanjiang 157011,Heilongjiang Province,China)

机构地区：[1]牡丹江医学院医学影像学院,黑龙江牡丹江157011 [2]牡丹江医学院附属红旗医院磁共振科,黑龙江牡丹江157011

出　　处：《中国CT和MRI杂志》2019年第10期75-78,共4页Chinese Journal of CT and MRI

基　　金：牡丹江医学院研究生创新科研基金,项目编号:2017YJ SCX-17MY

摘　　要：目的利用磁共振胰胆管水成像(MRCP)及常规腹部MRI序列,探讨胆囊管变异不同类型与胆囊结石发生的相关性。方法回顾性分析2015年8月31日-2018年8月31日间符合纳入标准的742例患者的MRCP及常规腹部MRI资料,比较胆囊管变异不同类型患者和正常胆囊管患者胆囊结石患病率差异。变异胆囊管及胆囊结石由两名从事核磁共振诊断医师根据3DMRCP序列及常规腹部MRI序列独立诊断。结果能清楚显示胆囊管542例,其中正常胆囊管346例,胆囊结石31例,平行型胆囊管69例,胆囊结石43例,螺旋型胆囊管91例,胆囊结石36例,高位型胆囊管36例,胆囊结石12例。正常胆囊管、平行型胆囊管、螺旋型胆囊管和高位型胆囊管患者胆囊结石患病率分别为8.9%、62.3%、39.5%、33.3%,差异有统计学意义(P<0.05)。结论变异胆囊管患者发生胆囊结石几率较无变异者高,平行型胆囊管胆囊结石发生率明显高于螺旋型胆囊管和高位型胆囊管,螺旋型胆囊管胆囊结石发生率高于高位型胆囊管。Objective Magnetic resonance cholangiopancreatography (MRCP) and conventional abdominal MRI sequences were used to investigate the association between different types of cystic duct variants and gallstone formation.Methods Retrospective analysis of MRCP and conventional abdominal MRI data of 742 patients who met the inclusion criteria between August 31,2015 and August 31,2015.The differences in the prevalence of gallstones between patients with different types of cystic duct variants and those with normal cystic ducts were retrospectively analyzed.The variant cystic duct and gallstone were independently diagnosed by two MRI diagnosticians based on the 3DMRCP sequence and the conventional abdominal MRI sequence.Results 542 cases of cystic duct can be clearly displayed,including 346 cases of normal cystic duct,31 cases of gallstone,69 cases of parallel cystic duct,43 cases of gallstone,91 cases of spiral cystic duct, 36 cases of gallstone,36 cases of high cystic duct,12 cases of gallstones.The prevalence of gallstones in patients with normal cystic duct,parallel cystic duct,spiral cystic duct and high cystic duct were 8.9%,62.3%,39.5%,and 33.3%,respectively,and the difference was statistically significant (P<0.05).Conclusion The incidence of gallstones in patients with variant cystic ducts was higher than that of no variants.The incidence of gallbladder stones in parallel cystic ducts was significantly higher than that in spiral cystic ducts and highgrade cystic ducts.The incidence of gallbladder stones in spiral cystic ducts was higher than that in high-grade cystic ducts.

关 键 词：胆囊结石 磁共振胆胰管水成像 胆囊管 变异 

分 类 号：R657.4[医药卫生—外科学] R575.6[医药卫生—临床医学]