慢性胰腺炎脾门假性囊肿分类及其与SPH关系的影像学研究  

Imaging study on classification of pseudocysts of splenic hilum in chronic pancreatitis and its relationship with sinistral portal hypertation

作　　者：徐浩铜 徐万宇 吴毅 何明静 雷秀兵[1] 田伏洲 Xu Haotong;Xu Wanyu;Wu Yi;He Mingjing;Lei Xiubing;Tian Fuzhou(Department of Anatomy,School of Basic Medicine,Panzhihua University,Panzhihua 617000,China;General Surgery Center of the Peoples’Liberation Army,The General Hospital of Western Theatre Command,Chengdu 610083,China;Department of Digital Medicine,Biomedical Engineering and Medical Imaging,Army Medical University,Chongqing 400038,China)

机构地区：[1]攀枝花学院基础医学院解剖学教研室,四川攀枝花617000 [2]西部战区总医院全军普外中心,成都610083 [3]陆军军医大学生物医学工程与影像医学系数字医学教研室,重庆400038

出　　处：《中国临床解剖学杂志》2023年第6期652-656,共5页Chinese Journal of Clinical Anatomy

基　　金：国家重点研发计划项目子课题(2018YFC0116901);攀枝花学院博士启动基金项目(035200147);攀枝花学院2020年校级项目(035001416)。

摘　　要：目的为鉴别脾门假性囊肿与脾内假性囊肿、脾周局灶性积液,运用影像学和2号中国可视人(second Chinese Visible Human,CVH2)数据库归纳脾门假性囊肿分类,探究脾门假性囊肿和左侧区域性门静脉高压(sinistral portal hypertation,SPH)的潜在关系。方法采集2019年291例慢性胰腺炎患者CT或MRI图像,归纳脾门假性囊肿分类,在CVH2图像上模拟本影像学脾门假性囊肿分类法,分析脾门假性囊肿与SPH之间的潜在关系。结果脾门假性囊肿可分为3类:胰尾假性囊肿扩张至脾门,并进一步伸入脾实质形成脾门假性囊肿;主胰管瘘发展成脾门假性囊肿;胰尾假性囊肿和胰瘘共同形成脾门假性囊肿。脾门假性囊肿是SPH的重要风险预测指标(OR=7.88,P<0.001)。结论运用可视化技术归纳并虚拟展示脾门假性囊肿分类法,对后续治疗方案的选择起指导作用。Objective To avoid to mix pseudocysts of splenic hilum(POSH)with introsplenic pseudocysts or peripancreatic fluid collections,radiological images and the second Chinese Visible Human(CVH2)datasets were used to summarize the classification of the POSH,and to explore potential correlation between the POSH and the sinistral portal hypertation(SPH).Methods The classification of POSH was summarized on CT or MRI from 291 patients with chronic pancreatitis in 2019.The classification of the POSH discovered on radiological images was mimicked on CVH2 images.The potential correlation between the POSH and the SPH was explored by statistical analyses.Results The POSH might be classified into three categories:one was that pseudocysts of pancreatic tail(POPT)developed to the splenic hilum area and extended into the splenic parenchyma to form the POSH,another one was that the POSH developed from the fistula of the pancreatic duct,and the third one was that both the POPT and the pancreatic fistula formed the POSH.The presence of a POSH was a risk factor for the SPH(OR=7.88;P<0.001).Conclusions The classification of the POSH has been summarized and displayed virtually by visualization technology.Mastering the detailed types of the POSH will decide on the choosing of the therapeutic strategy.

关 键 词：脾门假性囊肿 胰瘘 左侧区域性门静脉高压 可视化 中国可视人 

分 类 号：R322.21[医药卫生—人体解剖和组织胚胎学]