Ⅰ型先天性膽管囊腫及合并癥的MR診斷與術前評估_《中國普外基礎與臨床雜志》

作者：

夏進東 , 宋彬 , 周翔平

四川大學華西醫院放射科（成都610041）;

關鍵詞：

磁共振成像先天性膽管囊腫合并癥

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目的　探討磁共振（MR）對Ⅰ型先天性膽管囊腫及其合并癥的診斷及術前評估價值。
方法　回顧分析13例Ⅰ型先天性膽管囊腫及合并癥的MR影像特點，并與手術結果比較。MR檢查序列包括軸位T2WI、T1WI平掃，真穩態自由進動快速成像序列（true-FISP)冠狀面掃描,2D-MRCP和軸位Gd劑增強T1WI掃描。
結果　13例患者均表現為膽總管呈囊狀擴張。①6例合并結石及感染，表現為囊壁均勻增厚和明顯強化，囊腫內結石影。②合并膽管癌7例，其中4例以膽管壁不規則增厚為主要表現,3例表現為腔內的軟組織腫塊； 6例一期手術切除，1例因廣泛局部浸潤而行姑息手術治療。13例的MR影像特點與手術結果完全相符合。
結論　MR不僅能清晰顯示先天性膽總管囊腫，而且還能準確診斷其合并癥。

引用本文： 夏進東,宋彬,周翔平. Ⅰ型先天性膽管囊腫及合并癥的MR診斷與術前評估. 中國普外基礎與臨床雜志, 2007, 14(3): 354-358. doi: 復制

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1. Todani T, Watanabe Y, Narusue M, et al. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst [J]. Am J Surg， 1977; 134(2)∶263.
2. 李正，王慧貞，吉士俊主編. 先天性畸形學 [M]. 北京：人民衛生出版社， 1999∶694~698.
3. Babbitt DP. Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb [J]. Ann Radiol, 1969; 12(3)∶231.
4. Komi N, Tamura T, Miyoshi Y, et al. Nationwide survey of cases of choledochal cyst. Analysis of coexistent anomalies, complications and surgical treatment in 645 cases [J]. Surg Gastroenterol， 1984; 3(2)∶69.
5. 李果珍主編. 臨床CT診斷學 [M]. 北京: 中國科學技術出版社, 1996∶457~460.
6. 黃志強主編. 黃志強膽道外科學 [M]. 北京: 人民軍醫出版社, 1993∶158~164.
7. Chijiiwa K, Koga A. Surgical management and long-term follow-up of patients with choledochal cysts [J]. Am J Surg， 1993; 165(2)∶238.
8. Todani T, Watanabe Y, Toki A, et al. Carcinoma related to choledochal cysts with internal drainage operations [J]. Surg Gynecol Obstet， 1987; 164(1)∶61.
9. Reveille RM, Van Stiegmann G, Everson GT. Increased secondary bile acids in a choledochal cyst. Possible role in biliary metaplasia and carcinoma [J]. Gastroenterology， 1990; 99(2)∶525.
10. Han JK, Choi BI. Carcinoma in a choledochal cyst [J]. Abdom Imaging， 1996; 21(2)∶179.
11. 鄔穎華，宋彬，徐雋，等. VIBE序列在原發性肝癌MRI診斷中的價值 [J]. 中國普外基礎與臨床雜志, 2005; 12(2)∶184.
12. 鄔穎華，宋彬，徐雋，等. MRI VIBE 序列動態增強對肝臟局灶性病變的診斷價值 [J]. 中國普外基礎與臨床雜志, 2006; 13(2)∶227.
13. Yoshida H, Itai Y, Minami M, et al. Biliary malignancies occurring in choledochal cysts [J]. Radiology， 1989; 173(2)∶389.
14. Todani T, Tabuchi K, Watanabe Y, et al. Carcinoma arising in the wall of congenital bile duct cysts [J]. Cancer， 1979; 44(3)∶1134.

《中國普外基礎與臨床雜志》

Ⅰ型先天性膽管囊腫及合并癥的MR診斷與術前評估

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《中國普外基礎與臨床雜志》

Ⅰ型先天性膽管囊腫及合并癥的MR診斷與術前評估

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料