MSCT多平面重组结合分型在十二指肠乳头旁憩室综合征的临床应用

摘要

Objective To investigate the clinical application value of multi-slice CT (MSCT) and multi-planar reconstruction ( MPR) in Lemmel’ s syndrome combined with its types. Methods MSCT and MPR manifestations of 32 patients who were diagnosed as Lem-mel’ s syndrome by clinicians were retrospectively analysed. The anatomical relationship among nipples, diverticulitis and bile duct was analysed combined with endoscopic characteristic. Results There were 32 cases of Lemmel’ s syndrome, of which the central type was in 23 cases and peripheral type in 9 cases;in the 32 cases, biliary dilatation occurred in 30 cases, bile duct stones in 13 cases, acute and chronic cholecystitis in 8 cases, gallstones in 7 cases, gallbladder polyps in 2 cases, acute pancreatitis in 2 cases, and cholangiocarcinoma in 1 case. Conclusion MSCT and MPR can effectively display the anatomical relationship among nipple, diverticulitis and bile duct, and provide the basis for the etio-logical diagnosis and treatment in periampullary diverticula with pancreaticobiliary diseases.%目的：探讨MSCT多平面重组并结合分型在十二指肠乳头旁憩室综合征的临床应用价值。方法利用MPR回顾性分析32例临床确诊为十二指肠乳头旁憩室综合征的CT征象，观察憩室与乳头及胆、胰管的解剖关系，结合内镜治疗特点进行分型。结果32例乳头旁憩室综合征中中心型23例，周围型9例。32例中合并胆总管扩张30例，胆管结石13例，急慢性胆囊炎8例，胆囊结石7例，胆囊息肉2例，急性胰腺炎2例，胆管细胞癌1例。结论 MSCT多平面重组可有效显示乳头、憩室及胆、胰管的解剖关系，为合并的胆胰疾病提供病因诊断及治疗依据。