MRCP对胆囊管低位汇合及其并发症的诊断价值

摘要

To investigate the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) for di-agnosing low choledochal joint and its complications. MRCP results of 29 low choledochal joint patients con-firmed were analyzed retrospectively, and then compared with those by endoscopic retrograde cholaniopancreatography (ERCP). MRCP could display clearly the location of low choledochal joint, and the patients with complications involved 4 ones with cholecystolithiasis, 5 ones with cholangiolithiasis, 15 ones with cholecystolithiasis and cholangiolithi-asis, 3 ones with Mirizz syndrome, 2 ones with pancreatitis, 1 case with carcinoma of head of pancreas after cholecystec-tomy and 1 case of Vater ampullary carcinoma. Interoperative and ERCP findings proved that MRCP could be used for the diagnosis of low choledochal joint and its complications with no missed diagnosis. MRCP can be involved for the diagnosis of low choledochal joint and its complications, and thus can be used for preoperative planning and treat-ment of the complications.%目的：探讨磁共振胰胆管成像（magnetic resonance cholangiopancreatography，MRCP）对胆囊管低位汇合及其并发症的诊断价值。方法：回顾性分析29例MRCP检查发现的胆囊管低位汇合病例，与术中或内镜逆行胰胆管造影（endoscopic retrograde cholangiopancreatography，ERCP）检查结果相对照。结果：MRCP能清晰显示胆囊管汇入位置，并发症包括单纯胆囊结石4例，单纯胆管结石5例，胆囊及胆管均有结石15例，合并Mirizzi综合征3例，合并胰腺炎2例，胆囊切除术后患者合并胰头癌1例，合并乏特氏壶腹癌1例。对照术中或ERCP所见，MRCP术前检查胆囊管低位汇合及其并发症诊断符合率为100%。结论：MRCP可清晰显示胆囊管低位汇合及其并发症，能为术前制订手术方案及并发症处理提供重要信息。