胰腺分裂的磁共振胰胆管成像诊断

Diagnosis of pancreas divisum by magnetic resonance cholangiopancreatography

目的:总结磁共振胰胆管成像(MRCP)对胰腺分裂的诊断价值和影像表现。方法:回顾108例行MRCP病例,分析总结胰腺分裂MRCP的表现。结果:108例中12例(11.1%)诊断为胰腺分裂,包括5例不完全性胰腺分裂。其中1例因胰腺分裂合并有反复发作性腹痛,1例合并慢性胰腺炎胰管结石。结论:作为一种无创伤性检查,MRCP对胰腺分裂可作出明确诊断,对胰腺分裂合并不明原因反复发作性腹痛或急性胰腺炎反复发作病例的治疗有指导意义。

Objective To evaluate the usefulness of magnetic resonance cholangiopancreatography (MRCP) in the diagnosis of pancreas divisum. Methods A hundred and eight cases of pancreatobiliary disease admitted from Sept 2001 to Dec 2002 were analyzed retrospectively. MRCP images of pancreatobiliary ducts in pancreas divisum were observed. Results Pancreas divisum was detected in 12/108 patients (11.1%) by MRCP, including 5 cases of incomplete pancreas divisum. Abdominal pain was reoccurred in one case and chronic pancreatitis with pancreaticolith was found in another. Conclusions MRCP is a non-invasive technique for the diagnosis of pancreas divisum. MRCP has value in guiding the treatment of the cases of pancreas divisum with undefinite and recurrent abdominal pain or with recurrent acute pancreatitis.