胆道造影在胆管黏液性囊腺瘤诊断中的作用

Value of percutaneous transhepatic cholangiography in the diagnosis of hepatobiliary mucinous cystadenoma

目的 探讨经皮肝穿刺胆道造影（percutaneous transhepatic cholangiography,PTC）在胆管黏液性囊腺瘤（hepatobiliary mucinous cystadenoma）诊断中的作用,提高本病的诊断水平. 方法 总结2004-01 ～2014-06收治的10例病理诊断为肝内胆管黏液性囊腺瘤的临床表现、影像学和PTC特点,回顾性分析PTC在胆管黏液性囊腺瘤诊断中的作用. 结果 10例肝脏囊腺瘤患者中MRI或CT见肝内部分胆管和胆总管扩张,无明显占位;6例行PTC显示胆总管不显影或显影不全,经抽吸出胶冻状物质后胆总管显影. 结论 肝胆管黏液性囊腺瘤PTC表现有特殊性,具有较高的诊断价值.

Objective To explore the value of percutaneous transhepatic cholangiography（PTC） in the diagnosis of hepatobiliary mutinous cystadenoma（HMC）.Methods The clinical data of 10 HMC patients from January 2004 to June 2014 were analyzed retrospectively,including clinical manifestation,imaging and PTC features.Results MRI and CT results of 10 cases showed part of dilated bile capillary and common bile duct,and no obvious space-occupying lesion.The PTC of 6 cases showed the common bile duct incomplete imaging or no imaging,but the imaging was seen after the Jelly substance was pumped out.Conclusion The hepatobiliary mucinous cystadenoma has specific manifestation of PTC,which is valuable in the diagnosis.