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影像检查对诊断Mirizzi综合征的价值

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【摘要】 目的 探讨CT、MRI对Mirizzi综合征的诊断价值。方法 回顾性分析10例经病理检查证实的Mirizzi综合征患者临床、CT、MRI资料。结果 10例患者接受CT检查,均见胆囊壁弥漫性均匀增厚,肝总管狭窄。9例患者见胆囊结石,其中胆囊颈部结石嵌顿8例,胆囊一肝总管瘘1例。6例患者接受MRI检查,均见肝总管狭窄;胆囊壁均匀增厚伴胆囊颈部结石嵌顿5例。结论 CT、MRI是术前诊断Mirizzi综合征重要手段。

【Abstract】 Objective To explore the value of CT and MRI in the diagnosis of Mirizzi syndrome. Methods CT and MRI scans of 10 cases with Mirizzi syndrome confirmed pathologically after operation were analysed retrospectively. Results There were 10 cases received CT examination,10 cases thickened diffusely in the gallbladder wall, 9 cases with stones in the gallbladder, 8 cases with impaction of the stones in the gallbladder neck, 1 case with fistula between gallbladder and common hepatic duct. 10 cases with narrowing of the common hepatic duct. Of 6 cases received MRI examination, 5 case thickened diffusely in the gallbladder wall with impaction of the stones in the gallbladder neck. 6 cases with narrowing of the common hepatic duct. Conclusion CT and MRI enhancement is necessary for evaluation before operation.

  • 【文献出处】 浙江临床医学 ,Zhejiang Clinical Medical Journal , 编辑部邮箱 ,2017年09期
  • 【分类号】R445.2;R575;R816.5
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