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磁共振胰胆管成像对胰腺分裂症的诊断价值
董爱生1,陆建平2*,左长京1,王莉2,王飞2,刘崎2,李晓红1
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(1.第二军医大学长海医院核医学科,上海 200433;2.第二军医大学长海医院放射科,上海 200433)
摘要:
目的:比较磁共振胰胆管成像(MRCP) 与内镜逆行胰胆管造影术(ERCP)对胰腺分裂的诊断价值。方法:回顾8例行MRCP及ERCP的胰腺分裂病例,分析比较胰腺分裂MRCP及ERCP的胰胆管表现及MRCP诊断的准确性。结果:8例经ERCP诊断为胰腺分裂的患者中,MRCP诊断的准确性为87.5%(7/8),ERCP显示了所有8例患者的背侧胰管及6例患者的腹侧胰管,MRCP显示8例患者的背侧胰管及3例患者的腹侧胰管。结论:作为一种无创伤性检查,MRCP对胰腺分裂诊断有重要临床价值。
关键词:  磁共振胰胆管成像  胰腺分裂  内镜逆行胰胆管造影术
DOI:10.3724/SP.J.1008.2008.00688
投稿时间:2007-10-15修订日期:2008-02-19
基金项目:
Value of magnetic resonance cholangiopancreatography for diagnosis of pancreas divisum
DONG Ai-sheng1,LU Jian-ping2*,ZUO Chang-jing1,WANG Li2,WANG Fei2,LIU Qi2,LI Xiao-hong1
(1.Department of Nuclear Medicine,Changhai Hospital,Second Military Medical University,Shanghai 200433,China;2.Department of Radiology,Changhai Hospital,Second Military Medical University,Shanghai 200433)
Abstract:
Objective:To investigate the value of magnetic resonance cholangiopancreatography(MRCP) in the diagnosis of pancreas divisum by comparing with endoscopic retrograde cholangiopancreatography (ERCP).Methods: The MRCP and ERCP images of 8 patients with pancreas divisum were retrospectively analyzed. The diagnostic accuracy and findings by MRCP were compared with those by ERCP. Results: MRCP had a diagnostic accuracy of 87.5%(7/8) based on the result of ERCP. ERCP displayed the dominant dorsal pancreatic ducts in all 8 cases and ventral pancreatic ducts in 6 cases; MRCP also displayed the dominant dorsal pancreatic ducts in all 8 cases, but the ventral pancreatic ducts only in 3 cases.Conclusion: As a non-invasive technique,MRCP has important clinical value in the diagnosis of pancreas divisum.
Key words:  magnetic resonance cholangiopancreatography  pancreas divisum  endoscopic retrograde cholangiopancreatography