MR胰胆管成像诊断副胰管囊肿与主胰管囊肿的价值  

Diagnostic value of MR cholangiopancreatography in santorinicele and wirsungocele

作　　者：赵心竹 万幸 罗敏 杨忠现 刘于宝 ZHAO Xinzhu;WAN Xing;LUO Min;YANG Zhongxian;LIU Yubao(Imaging Center,Shenzhen Hospital of Southern Medical University,Shenzhen,Guangdong Province 518100,China)

机构地区：[1]南方医科大学深圳医院影像中心,广东深圳518100

出　　处：《实用放射学杂志》2021年第11期1818-1821,共4页Journal of Practical Radiology

基　　金：国家自然科学基金项目(81671660);深圳市科技项目(JCYJ20170307144338570);广东省教育厅高水平高校建设基金资助南方医科大学临床研究启动项目(LC2016PY061)。

摘　　要：目的探讨磁共振胰胆管成像(MRCP)对副胰管囊肿、主胰管囊肿的诊断价值,分析主副胰管囊肿与胰腺炎、胰腺分裂(PD)的相关性。方法回顾性选取57例副胰管囊肿(S组)、18例主胰管囊肿(W组)共75例患者,比较MRCP对副胰管囊肿与主胰管囊肿的检出率,并统计分析两者与胰腺炎、PD的关系。结果MRCP对副胰管囊肿、主胰管囊肿的检出率分别为70.18%与77.78%,无明显差异(P=0.531)。S组、W组中发生胰腺炎病例分别59.65%、11.11%(P<0.05);S组中PD占78.94%,高于W组的11.11%(P<0.05);伴胰腺分裂的副胰管囊肿(SWPD)患者胰腺炎的平均患病年龄[(61.25±13.15)岁]高于不伴胰腺分裂的副胰管囊肿(SWOPD)患者[(53.10±11.50)岁]。结论MRCP能准确诊断主、副胰管囊肿,对明确胰腺炎的病因提供客观影像依据。副胰管囊肿比主胰管囊肿更易发生胰腺炎。SWOPD比SWPD更容易发生胰腺炎。Objective To explore the value of magnetic resonance cholangiopancreatography(MRCP)in diagnosis of santorinicele and wirsungocele,and to analyze the correlation between santorinicele/wirsungocele and pancreatitis or pancreas divisum(PD).Methods A total of 75 patients including 57 patients with santorinicele(S-group)and other 18 with wirsungocele(W-group)were retrospectively collected.Detection ability of MRCP for santorinicele and wirsungocele was compared.The correlation of the two entities with pancreatitis and PD were statistically analyzed.Results The positive rates of MRCP in detection of santorinicele and wirsungocele were 70.18%and 77.78%,showed no significant difference(P=0.531).The pancreatitis was accompanied in 59.65%of patients in the S-group and in 11.11%of patients in the W-group,with a significant difference(P<0.05).78.94%of patients represented PD in the S-group,higher than in W-group(11.11%,P<0.05).The mean age of pancreatitis patients with santorinicele with pancreas divisum(SWPD)was higher than that santorinicele without pancreas divisum(SWOPD)(61.25±13.15 vs 53.10±11.50).Conclusion MRCP can accurately detect the santorinicele and wirsungocele,and provide obj ective imaging basis in determining the etiology of pancreatitis.Santorinicele is more likely to induce pancreatitis than wirsungocele,and SWOPD appears a similar trend more than SWPD.

关 键 词：磁共振胰胆管成像 副胰管囊肿 主胰管囊肿 胰腺炎 胰腺分裂 

分 类 号：R445.2[医药卫生—影像医学与核医学] R576[医药卫生—诊断学]