摘要
目的:探讨反复发作化脓性胆管炎合并肝内胆管细胞癌患者的核磁共振成像(MRI)表现。方法:选取64例反复发作化脓性胆管炎、经病理和MRI证实为合并肝内胆管细胞癌的患者,回顾性分析其病例资料,探讨其MRI表现。结果:萎缩肝叶与非萎缩肝叶比较,其胆管细胞癌的发病率较高(x^2=30.637,P<0.001);门静脉阻塞或狭窄与非门静脉阻塞或狭窄的肝叶比较,肝叶胆管细胞癌在门静脉阻塞或狭窄的发病率较高(x^2=30.637,P<0.001);有肝内胆管结石的与无肝内胆管结石肝叶比较,有肝内胆管结石的肝叶胆管细胞癌的发病率较高(x^2=10.165,P<0.001)。结论:反复发作化脓性胆管炎并肝内胆管细胞癌主要发生在萎缩肝叶、门静脉阻塞或狭窄的肝叶以及有肝内胆管结石的肝叶。肝内胆管癌的MRI主要表现为血供少,但有极少部分肿瘤表现为血供多。
Objective： To investigate the MRI manifestation of recurrent pyogenic cholangitis accompanied with intrahepatic cholangiocarcinoma. Methods： A total of 230 patients with recurrent pyogenic cholangitis were selected from our hospital. 64 patients were made a diagnosis with intrahepatic cholangiocarcinoma by pathology and MRI and were brought into our research. Their clinical data was analyzed to investigate their MRI manifestation. Results： Compared with non-atrophy liver lobes, the morbidity of cholangiocarcinoma was higher in atrophy liver lobes（78.18%vs.28.77%, P0.001）.Compared with liver lobes without hepatic portal vein blocking, the morbidity of cholangiocarcinoma was higher in liver lobes with hepatic portal vein blocking（78.18%vs.28.77%, P0.001）. Compared with liver lobes without hepatolith, the morbidity of cholangiocarcinoma was higher in liver lobes with hepatolith（65.00%vs.36.76%, P=0.001）. Conclusion： Recurrent pyogenic cholangitis accompanied with intrahepatic cholangiocarcinoma mainly occurs in atrophy liver lobes, liver lobes with hepatic portal vein blocking and liver lobes with hepatolith. The main MRI manifestation of cholangiocarcinoma is less blood supply, but few neoplasms have much blood supply.
出处
《中国医学装备》
2016年第1期90-93,共4页
China Medical Equipment
关键词
肝肿瘤
胆管炎
胆管细胞癌
磁共振成像
Liver neoplasms
Cholangitis
Cholangiocellular carcinoma
Magnetic resonance imaging
