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磁共振胰胆管成像的探讨(附52例报告)

Study on Magnetic Resonance Cholangiopancreatography

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【作者】 张永革曹浩强王志红李刚张宏远张丽萍

【Author】  Zhang Yongge,Cao Haoqiang,WangZhihong,et al. Jiaxing Second Hospital,ZheJiangProvince(Jiaxing 314000)

【机构】 浙江省嘉兴市第二医院

【摘要】 目的:用MR显示胰、胆管扩张情况,并提出评价。材料与方法:检查52例病人,其中胆道梗阻35例,其它17例。应用呼吸门控快速自旋回波,重T2加权成像技术及图像叠加后处理。其中23例进行了手术治疗。结果:胆道梗阻病人均能显示梗阻部位及扩张的胆管,非梗阻病人可显示胆总管及部分左右肝管。结论:MRCP能显示胆管的狭窄部位、程度及扩张的胆管、胰管。与MRI结合,能更准确地诊断梗阻部位及原因。与B超、CT及ERCP相比较,MRCP在诊断胆道梗阻的病因方面,具有独特的优越性。

【Abstract】 Purpose::To evaluate magnetic resonance cholangiopancreatography (MRCP) in demonstrating the dilated pancres and bile ducts.Materials and methods:52 patients including 35 cases of bile ducts obstration and 17 cases of other causes,were examined by MRCP which was performed with a breath hold heavily T 2 weighted fast spin echo (FSE) seqence.The images were postprocessed on pile up.23 cases were operated in 52 patients.Results:The situation of biliary obstruction and dilated bile ducts were visualized in all patients with bile ducts obstruction.the novmal bile and hepatic ducts of left right sides were demostrated in the nonobstructive patients.Conclusion:MRCP could demostrate the site,extent of the biliary obstruction and the dilated cholangiopancres ducts.It could also show the situation and causes of obstruction more accurately when combined with MRI.In comparison with US,CT and ERCP,MRCP has some unique superior in diagnosing the cause of bile ducts obstruction.

  • 【文献出处】 中国医学影像技术 ,CHINESE JOURNAL OF MEDICAL IMAGING TECHNOLOGY , 编辑部邮箱 ,1998年06期
  • 【分类号】R657.43,R445.2
  • 【被引频次】1
  • 【下载频次】27
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