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MRCP诊断胆囊切除术后综合征89例
引用本文:杨小庆,杨爱玲,龚永驰,秦伟,高修成,刘玉品.MRCP诊断胆囊切除术后综合征89例[J].放射学实践,2005,20(2):146-149.
作者姓名:杨小庆  杨爱玲  龚永驰  秦伟  高修成  刘玉品
作者单位:210009,南京,东南大学附属中大医院放射科;210009,南京,东南大学附属中大医院病案室
摘    要:目的:探讨MRCP对胆囊术后病例的诊断价值。方法:搜集89例2002年3月~2004年3月因胆囊切除术 后出现腹痛等症状而行MRCP检查的病例,观察分析胆囊术后综合征的MRCP表现。结果:89例中合并胆管结石43例 (48.3%),残留胆囊或胆囊管残端过长29例(32.6%),缩窄性乳头炎21例(23.6%),十二指肠乳头旁憩室7例(7.9%), 胆管或胰腺癌肿7例(7.9%)。结论:MRCP对胆囊术后综合征具有较高的病因诊断符合率,在本病的诊断中具有重要价 值。

关 键 词:磁共振成像  胰胆管造影术  胆囊切除术
文章编号:1000-0313(2005)02-0146-04
修稿时间:2004年5月17日

The Value of MRCP in Patients with Postcholecystectomy Syndrome: a Report of 89 Cases
YANG Xiao-qing,YANG Ai-ling,GONG Yong-chi,et al..The Value of MRCP in Patients with Postcholecystectomy Syndrome: a Report of 89 Cases[J].Radiologic Practice,2005,20(2):146-149.
Authors:YANG Xiao-qing  YANG Ai-ling  GONG Yong-chi  
Institution:YANG Xiao-qing,YANG Ai-ling,GONG Yong-chi,et al.Department of Radiology,the Zhongda Hospital Affiliated to the Southeast University,Nanjing 210009,P.R.China
Abstract:Objective:To assess the value of MRCP in patients with postcholecystectomy syndrome (PCS).Methods:The data of 457 MRCP cases in recent two years were analyzed retrospectively,89 of them were suffered from an abdominal pain after cholecystectomy.The causes of postcholecystectomy syndrome were carefully observed.Results:Of these 89 patients,43 cases were complicated with bile duct stones (48.3%),29 cases with gallbladder remnant or long cystic duct stump (32.6%),21 cases with constrictive papillitis (23.6%),7 cases with duodenal papillary diverticula (7.9%) and 7 cases with tumors (7.9%).Conclusion:MRCP has a high accuracy on the evaluation of the causes of the disease and play an important role in diagnosis of PCS.
Keywords:Magnetic resonance imaging  Cholangiopancreatography  Cholecystectomy
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