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十二指肠乳头旁憩室的CT、MRI诊断 被引量:9

CT and MRI Diagnosis of Periampullar Diverticula
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摘要 目的:探讨十二指肠乳头旁憩室(PAD)的CT、MRI特点及其诊断价值.材料和方法:搜集CT、MRI和MRCP检查发现的PAD 21例,男8例,女13例,平均年龄59.1岁.CT检查采用平扫加三期增强扫描,5~10mm层厚.MRI检查轴位T1WI使用FSPGR序列,T2WI使用FSE+Fat SAT序列,冠状位T2WI使用FIESTA序列.MRCP采用SS-FSE序列厚层单次投射法.结果:21例PAD直径为1.6~5.2cm,CT、MRI表现为十二指肠环内侧与胰头间类圆形气泡影,内可见气液面或网状影,甚至全部为液体充填.MRCP显示胆总管下段受压,肝外胆管扩张或胆胰管开口于PAD,胆胰管均有扩张.结论:PAD有典型的CT、MRI表现,MRCP可进一步观察PAD与胆胰管关系,对PAD综合征的临床诊断很有帮助. Purpose: To study the signs and value of CT and MRI in periampullar diverticula(PAD). Materials and Methods: Twenty-one cases of PAD who were finded by CT, MRI and MRCP came into the study,male 8 ,female 13 ,mean age 54.1 yeas old. CT examination used common scan and three period contrast scan, slice thick 5 - 10mm. MRI examination used T1WI FSPGR, T2WI FSE + Fat SAT and FIESTA. MRCP used SS-FSE, thick single projection. Results: Twenty-one cases of PAD, which lesions ranged in diameter from 1.6 cm to 5. 2 cm, CT and MRI manifested between duodenum and pancreatic head as a hemicycle lesion with gaseous density,which had a air-fliud level or netting image, fulling of fliud indeed. MRCP showed that the lower segment of common bile duct was oppressed, outside liver bile duct expanded or pancreatic-bile duct opened the mouth to PAD, pancreatic-bile duct dilated. Conclusion: PAD has typical feature at CT and MRI, MRCP could observe the PAD and pancreatic-bile duct's relations further, very helpful for the clinical diagnosis of PAD syndrome.
出处 《中国医学影像学杂志》 CSCD 2006年第3期205-208,共4页 Chinese Journal of Medical Imaging
关键词 十二指肠乳头旁憩室 CT MRI 胰胆管造影 periampullar diverticula CT MRI cholangiopancreatography
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参考文献6

  • 1丰有吉主编.妇产科学.北京:人民卫生出版社,2002,366
  • 2Avisse C,Flament JB,Delattre JF,et al.Ampulla of vater.Surg Clin North Am,2000,80(1):201
  • 3Lobo DN,Balfour TW,Iftikhar SY,et al.Periampullary diverticula and pancreaticobilliary disease.Brit J Sugr,1999,86 (5):588
  • 4Zoepf T,Zoepf DS,Arnold JC,et al.The relationship between juxta-papillary duodenal diverticula and disorders of the bilicpancreatic system:analysis of 350 patients.Gastrointest -Endosc,2001,54(1):56
  • 5韩志刚,程红岩,裘美娟,汤菊萍,陆伦.十二指肠憩室的多层螺旋CT诊断价值[J].医学影像学杂志,2005,15(4):286-287. 被引量:27
  • 6龚永驰,杨小庆,邵华,靳激扬.螺旋CT对十二指肠乳头旁憩室综合征的诊断价值[J].现代医学,2003,31(4):224-226. 被引量:9

二级参考文献6

  • 1Majeski J. Diverticulum of the vermiform appendix is associated with chronic abdominal pain[J].Am J Surg,2003,186:129-131.
  • 2Rajnakova A,Goh PM, Ngoi SS,et al. ERCP in patients with periampullary diverticulum[J].Hepatogastroenterology,2003,50:625-628.
  • 3Tanizawa Y,Nakagohri T,Konishi,M,et al. Virtual pancreatoscopy of pancreatic cancer[J].Hepatogastroenterology,2003,50:559-562.
  • 4Tsitouridis I,Emmanouilidou M,Goutsaridou F,et al. MR cholangiography in the evaluation of patients with duodenal periampullary diverticulum[J]. Eur Radiol,2003,47:154-160.
  • 5龚永驰.十二指肠乳头旁憩室及其与胆胰疾病的关系[J].铁道医学,2001,29(4):276-277. 被引量:18
  • 6张克俭,董恩钰,戴希真.老年十二指肠乳头旁憩室特殊性分析[J].中国误诊学杂志,2002,2(5):660-661. 被引量:8

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