MRCP观察胰胆管合流解剖及意义

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (5): 539-542.

MRCP观察胰胆管合流解剖及意义

陈风¹，　汤琳²，　蒋晓飞³，　徐卫燕³，　汪健⁴，　黄顺根⁴，　郭万亮⁴

1.上海第六人民医院东院普外科，上海 200233； 2.南京中医药大学基础医学院，江苏南京 210046；
3.复旦大学附属上海市浦东医院普外科，上海 201300； 4.苏州大学附属儿童医院普外科，江苏苏州 215003

收稿日期:2013-03-09 出版日期:2013-09-25 发布日期:2013-10-16
通讯作者: 汪健，博士生导师，教授，E-mail：wj196312@vip.163.com 汤琳，博士，E-mail:tl915@163.com E-mail:chenfengmail@163.com
作者简介:陈风（1970-），男，博士，郑州人，副主任医师，研究方向：消化道肿瘤
基金资助:
上海市科委专项基金（13140902900）; 江苏省135工程重点人才项目（2003098）;南京中医药大学青年自然科学基金（09XZR03）

The study of pancreaticobiliary anatomy through magnetic resonance cholangiopancreatography

CHEN Feng¹, TANG Lin², JIANG Xiao-fei³, XU Wei-yan³, WANG Jian⁴, HUANG Shun-gen⁴, GUO Wan-liang⁴

1.Department of General Surgery, Shanghai 6th People's Hospital, Shanghai 200233, China; 2. The School of Basic Medicine Nanjing University of Chinese Medicine, Nanjing 210046, China; 3.Shanghai Pudong Hospital Affiliated to Fudan University, Shanghai 201300, China; 4. The Children Hospital Affiliated to Suzhou University, Suzhou 215003, China

Received:2013-03-09 Online:2013-09-25 Published:2013-10-16

摘要/Abstract

摘要：

　目的　通过MRCP观察胰胆管合流的解剖，探讨胰胆管合流异常(Pancreaticobiliary 　maljunction, PBM)的诊断。方法　搜集MRCP 954例，观察胰胆管汇合情况及其与十二指肠壁的关系。结果　胆总管和胰管均显影的841例，无法观察胰胆管汇合的113例。显影良好的841例中，胰胆管的汇合存在U、V、Y和合流异常4种胰胆管合流方式；其中Y型356例（42.33%，），V型242（28.78%），U型165（19.62%），疑似PBM 78（9.27%）。结论　 MRCP可观察胰胆管解剖，确诊PBM还需要其他辅助检查。

关键词: 磁共振胰胆管成像, 胰胆管解剖, 胰胆管合流异常

Abstract:

Objective　To investigate the pancreaticobiliary anatomy through magnetic resonance cholangiopancreatography.　Methods　954 patients who had underwent the examination of magnetic resonance cholangiopancreatography were studied to investigate the pancreaticobiliary anatomy.　Results　The bile common duct and canals of wirsung were detected clearly in 841 patients and were not detected in 113 patients. In 841 patients, The types of pancreaticobiliary ductal union were classified into four types , known as "Y" in 356 specimens(42.33%), "V" in 242 specimens（28.78%,"U" in 165 specimens（19.62%） and pancreaticobiliary maljunction type in 78 specimens（9.27%）.　Conclusions　The pancreaticobiliary anatomy can be observed by magnetic resonance cholangiopancreatography, however, it cannot make a definite diagnosis to pancreaticobiliary maljunction.

Key words: Magnetic resonance cholangiopancreatography, Pancreaticobiliary ductal union, Pancreaticobiliary maljunction

中图分类号:

R322.48

陈风, 汤琳, 蒋晓飞, 徐卫燕, 汪健, 黄顺根, 郭万亮. MRCP观察胰胆管合流解剖及意义[J]. 中国临床解剖学杂志, 2013, 31(5): 539-542.

CHEN Feng, SHANG Lin, JIANG Xiao-Fei, XU Wei-Yan, HONG Jian, HUANG Shun-Gen, GUO Mo-Liang. The study of pancreaticobiliary anatomy through magnetic resonance cholangiopancreatography[J]. Chinese Journal Of Clinical Anatomy, 2013, 31(5): 539-542.

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