摘要
目的探讨3.0 T磁共振成像评价胰胆管异常汇合与胆囊腺肌症发病关系的价值。方法收集我院2016年6月—2019年6月胆胰管汇合部位情况显示良好的298例患者的3.0 T磁共振胆胰管成像(MRCP)图像资料,分为病例组及对照组,回顾性分析胆胰管异常汇合与胆囊腺肌症发病的关系。结果138例病例组中,胰胆管汇入正常型为102例,胰胆管汇入异常型为36例;160例对照组中,胰胆管汇入正常型为150例,胰胆管汇入异常型为10例,两组比较差异有显著性(χ^2=22.336,P<0.05)。46例胰胆管汇入异常型中,P-B型33例,B-P型为13例,P-B型构成比明显高于B-P型,差异有显著性(χ^2=17.391,P<0.05)。结论胆囊腺肌症与胰胆管汇合分型关系密切,3.0 T磁共振MRCP技术对评价胆胰管汇入分型和胆囊腺肌症发病关系有较高的应用价值,可以为临床诊断该病提供参考依据。
Objective To investigate the value of 3.0 T magnetic resonance imaging in evaluating the association between abnormal confluence of pancreatic and bile ducts and the pathogenesis of adenomyomatosis of the gallbladder.Methods The 3.0 T magnetic resonance cholangiopancreatography(MRCP)data were collected from 298 patients who were treated in our hospital from June 2016 to June 2019 and had good images of the junction of the pancreatic and bile ducts.The patients were divided into case group and control group,and a retrospective analysis was performed to investigate the association between abnormal conf-luence of pancreatic and bile ducts and the pathogenesis of adenomyomatosis of the gallbladder.Results Among the 138 patients in the case group,102 had normal confluence of pancreatic and bile ducts and 36 had abnormal confluence,and among the 160 patients in the control group,150 had normal confluence and 10 had abnormal confluence;there was a significant difference between the two groups(χ^2=22.336,P<0.05).Among the 46 patients with abnormal confluence,33 had P-B type and 13 had B-P type,and the constituent ratio of P-B type was significantly higher than that of B-P type(χ^2=17.391,P<0.05).Conclusion Adenomyomatosis of the gallbladder is closely associated with the type of the confluence of pancreatic and bile ducts,and 3.0 T MRCP has a high value in evaluating the association of the type of the confluence of pancreatic and bile ducts with the pathogenesis of adenomyomatosis of the gallbladder and can provide a reference for the clinical diagnosis of this disease.
作者
边芳
翟冬枝
BIAN Fang;ZHAI Dongzhi(Department of Magnetic Resonance,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《精准医学杂志》
2019年第5期445-447,共3页
Journal of Precision Medicine
关键词
磁共振成像
胆囊疾病
腺肌病
胆管
胰腺管
诊断
Magnetic resonance imaging
Gallbladder diseases
Adenomyoma
Bile ducts
Pancreatic ducts
Diagnosis
