摘要
目的评估磁共振成像(MRI)及CT检查在泡型肝包虫病术前评价中的作用及各自的优势。方法回顾性分析我院2015年7月至2016年3月期间60例泡型肝包虫病患者行根治性手术前的MRI及CT检查的影像学资料,对影像学检测结果与术中所见进行比较。结果①对病灶边缘的判断:MRI能准确显示病灶的外周带和边缘带,病灶边界清晰,而CT无法准确显示上述结构。②病灶与血管关系的判断:MRI征象与术中所见完全符合病例为52例,部分符合8例;CT征象与术中所见完全符合病例为35例,部分符合13例,不符合12例。③病灶与胆管关系的判断:MRCP能清晰显示胆管走行,判断胆管狭窄部位及程度;CT只能够显示增宽的胆管,几乎无法准确判断胆管扩张。结论 MRI在泡型肝包虫病根治术前的影像学评价方法中具有明显的优势,可作为泡型肝包虫病患者手术的常规影像学检查。
Objective To evaluate roles and advantages of magnetic resonance imaging（MRI） and compute tomography（CT） in preoperative assessment for hepatic alveolar echinococcosis.Method MRI and CT scan imaging data of 60 patients with hepatic alveolar echinococcosis underwent radical surgery were retrospectively analyzed.Results MRI scanning could accurately identify the peripheral zone and marginal zone of hepatic alveolar echinococcosis lesions,and CT could not accurately show the above structures.In assessment of anatomic relation between vascular and lesions,MRI findings of 52 cases were in full compliance with corresponding intraoperative findings,and 8 cases were partial compliant.However,CT findings of 35 cases were in full compliance with corresponding intraoperative findings,13 cases were partial compliant,and 12 cases were not compliant at all.In assessment of anatomic relation between biliary and lesions,MRCP could clearly show the bile duct,bile duct stenosis location and degree;CT scanning could only show widened bile duct,but could not accurately judge bile duct dilatation.Conclusions MRI exerts some obvious advantages in preoperative evaluation of hepatic alveolar echinococcosis,and could accurately find relation between lesions and vascular or biliary system.MRI should be used as routine examination for patients with hepatic alveolar echinococcosis.
出处
《中国普外基础与临床杂志》
CAS
2016年第5期535-538,共4页
Chinese Journal of Bases and Clinics In General Surgery
基金
青海大学中青年课题(编号:2013-QYY-4
2014-QYT-1)
青海省科技厅项目(编号:2012-N-536)
青海省临床重点建设专科-肝胆胰外科~~
关键词
泡型肝包虫病
磁共振成像
术前评估
Hepatic alveolar echinococcosis
Magnetic resonance imaging
Preoperative evaluation
