45例先天性胆管扩张症的影像学诊断探析.pdfVIP

摘 要 45 例先天性胆管扩张症的影像学 诊断分析 研究生：赵亮 导师：姚兰辉 摘 要 目的：通过与 MRCP 对照分析 45 例先天性胆管扩张症的超声声像图特征及漏误 诊原因。方法：对45 例先天性胆管扩张症病例的 US 与 MRCP 检查结果进行对照分 析，探讨超声漏误诊原因。结果：本组病例超声检查正确诊断率为91.1% ；先天性胆 管扩张症的超声声像图表现根据胆管扩张形态、累及范围分为，胆总管囊性扩张型 （Ⅰ型）（84.4% ），肝内外胆管均囊性扩张(Ⅳ型) （13.3%），肝内胆管囊性扩张( Ⅴ 型)(2.2%)结论： Ⅰ型先天性胆管扩张症因其典型超声声像图特征诊断符合率较高 (97.4%) ；而Ⅳ型肝内外胆管轻度不规则扩张及Ⅴ型肝内胆管多发囊性扩张，超声诊 断易漏误诊为肝内外胆管扩张及肝多发性囊肿；当肝外胆管呈轻度梭形膨大，并且 不伴有肝内胆管扩张者常不能引起检查者的重视。 关键词：先天性胆管扩张症；超声；磁共振胰胆管成像； —1— 新疆医科大学医学硕士学位论文 Imageological Diagnostic Analysis of Congenital Biliary Dilatation (Report of 45 Cases) Postgraduate:Zhaoliang Supervisor: Prof.Yao Lanhui Abstract Objective: To compare ultrasonographic characteristics and reasons for misdiagnosis of ultrasonographic diagnose results of 45 cases of CBD with MRCP. Methods: By analyzing the results of US and MRCP to the 45 cases of CBD,explore the reasons for misdiagnosis of ultrasound. Results:This cases in the group which examnation by US, the correct rate of diagnosis is 91.1%; The CBD’s US sonogram by the basic of the bile ducts expansion and the scope can be divided into cystic dilated common bile duct( Ⅰtype)(84.4%);Both inside and outside the liver bile duct cystic expansion(Ⅳtype)(13.3%);Cystic expansion of intrahepatic bile ducts( Ⅴ type)(2.2%). Conclusion: The CBD of Ⅰ type’s correct diagnose is higher because of its typical US sonogram characteristics(97.4%).The CBD of Ⅳ type because of the inside and outside the li