MSCT多平面重建对十二指肠憩室及其主要合并症的诊断价值

The value of MSCT multiplanar reconstruction in the diagnosis of duodenal diverticulum and main complications

目的探讨MSCT多平面重组对十二指肠憩室及主要合并症的诊断价值。方法回顾性分析十二指肠憩室患者69例影像学资料,多平面重组评价憩室发生部位、大小、憩室内表现,以及是否合并肝内外胆管结石、胆管炎症、胆囊结石、胆囊炎、胰腺炎等合并症。结果69例患者共检出十二指肠憩室89个,单发54例,双发12例,多发3例。发生在十二指肠降段61例,水平段4例,升段1例,降段与水平段多发憩室3例。主要合并症:憩室炎症5例;肝内外胆管结石58例并肝内外胆管扩张;胆管炎症9例;胆囊结石并胆囊炎8例;急性胰腺炎2例;单纯性胆总管扩张5例。结论MSCT多平面重组能从不同方位对憩室本身进行评价,还可同时评价合并的胆胰疾病以及腹腔内其他病变,并初步判断是否与憩室有关。

Objective To investigate the value of MSCT multiplanar reconstruction in the diagnosis of duodenal diverticulum and main complications.Methods The imaging findings of 69 cases of duodenal diverticulum were retrospective analyzed.The location,size,and theinternal performance of duodenal diverticulum,and whether combined with intrahepatic and extrahepatic bile duct stones,bile duct inflammation,gallstone,cholecystitis,pancreatitis and other complications were evaluated by multiplanar reconstruction.Results 79 duodenal diverticulum of cases were diagnosed in all 89 patients.Among them,54 cases were contained single lesion,12 cases contained double lesions,3 cases contained multiple lesions.61 cases were discovered in descending part of duodenum,4 cases in horizontal segment,1 case in ascending segment,3 cases in both descending segment and horizontal segment.5 cases were confirmed complicated diverticulum inflammation;58 cases confirmed stones and dilation in intrahepatic and extrahepatic bile duct;9 cases confirmed complicated bile duct inflammation;8 cases confirmed cholelithiasis and cholecystitis;2 cases confirmed acute pancreatitis and only 5 cases confirmed common bile duct dilatation.Conclusion MSCT multiplanar reconstruction can be evaluated the duodenal diverticulum from different directions,and evaluate the combined biliary and pancreatic disease and other disease in the abdominal as well as determine whether the disease is related to duodenal diverticulum.