MRCP对乳头旁憩室综合征的诊断价值

目的评估MRCP对十二指肠乳头旁憩室综合征(PAD)的诊断价值。方法49例PAD患者行MRCP检查,分析其临床表现和影像征象,评估MRCP对PAD的检出率及显示PAD与胆胰管末端位置关系的能力。结果49例中46例MRCP显示47个PAD,其中1例为多发PAD(显示率为93.9%)。乳头上型34个、乳头下型7个、乳头开口于憩室边缘(憩室缘型)4个和乳头开口于憩室内(憩室内型)2个。结论MRCP作为一种新型的无创的成像手段,对PAD有着较高的显示率,对显示PAD与胆胰管末端的解剖关系及对乳头旁憩室综合征的诊断有着较大的价值和较为广阔的应用前景。

The Role of MRCP in the Diagnosis of Lemmel's Syndrome

Objective To evaluate the usefulness of MRCP in the diagnosis of Lemmel's syndrome.Methods 49 patients with periampullary diverliculum(PAD) were examined by MRCP.The clinical manifestations and imaging signs were analyzed,the detecting rate of PAD by MRCP,the anatomic relationship between pancreaticobiliary tract system and PAD were evaluated.Results Of 49 patients,47 PAD were showed on MRCP,in which 34 PAD located above the papilla,7 located below papilla,4 located in the neck edge of diverticula,and 2 were intradiverticular papilla.Conclusion MRCP as a newly developed and noninvasive imaging technique can improve the diagnosis of Lemmel's syndrome and will play an important role in the future.