MRCP对十二指肠憩室的诊断价值论文.docVIP

　　MRCP对十二指肠憩室的诊断价值论文 .freelm层厚.freelm层厚）成像，在观察胰胆管的同时，着重观察十二指肠及其周围结构，以期发现憩室或其他病变。结果 共发现6例十二指肠憩室，男1例，女5例；年龄53～74岁，平均65岁。所有憩室均位于十二指肠降段与胰头之间。6例中2例显示胆总管下段受压绕行，伴有胆总管及胰管的不同程度扩张，2例合并胆总管下端结石，1例合并胆总管下段炎性狭窄，另1例较大憩室因压迫胰头区而致胰胆管扩张。所有病例均经十二指肠镜检查证实。在MRCP图像上，十二指肠憩室表现为一端连于十二指肠，另一端为游离的盲袋样结构，其形态及信号均类似于十二指肠。3例憩室内可见散在气泡影或气—液平面，以横轴位T2RCP对发现十二指肠憩室较为敏感，也非常准确，并能显示某些并发症；缺点是难以显示黏膜溃疡及一般炎症；但由于其为无创性检查，简便易行，患者无痛苦，故仍不失为一种较好的检查方法。 【关键词】 胰胆管成像；磁共振；十二指肠憩室；影像诊断 【Abstract】 Objective To evaluate the value of magic resonance cholangiopancreatography (MRCP) in detecting duodenal diverticulum.Methods From March of 2004 to Feberuary of 2005，ent，MRCP ed on a series of patients inal pain or together ed in both thin slice (3mm thickness m thickness).In film reading，particular attention and the surrounded structures，in addition to the observation of cholangiopancreatic ducts，so as to find if any diverticulum or other abnormalities exist.Results 6 cases of duodenal diverticulum ong them，one ale and 5 ale.The age 53 to 74 years， and the pancreatic head.2 cases matory stenosis of the choledocho duct.In another case，the diverticulum ed by endoscopic examinations.On MRCP pictures，the duodenal diverticulum presented as a “blind duct”，，and the other end being free.The shape and signal intensity ilar to the duodenum.In 3 cases，gas bubble or gas-liquid level ，ore clearly sho ultiple cysts in axial images，the e enhancement as that of the duodenum on Gd-DTPA enhancing scan，，and furthermore can shoe of it’s plications.The shortings of it include the mation of the mucosa.Nevertheless，due to the harmless，easiness and painless characteristics，MRCP should be considered as a good method in detecting duodenal diverticulum and it’s plications. 【Key agic resonance；duodenal diverticulum；imaging diagnosis 十二指肠憩室较为常见，多发生于十二指肠降段，以往主要以上消化道钡餐造影或十二指肠镜检查诊断。2004年3月～2005年2月我院在对因上腹痛或伴有黄疸的患者行磁共振胰胆管成像（MRCP）检查时，诊断了6例十二指肠憩室，后均经十二指肠镜检查证实，现报告如下。 1 资料与方法 1.1 一般资料 6例中男1例，女5例。年龄53～74岁，平均65岁。均经十二指肠镜检查证实。6例患者均因上腹疼痛不适，2例伴有黄疸而来院就诊，病史3天～6