动态促胰液素刺激磁共振胰胆管造影对胰管中断的诊断及胰漏的评估
Diagnosis of duct disruption and assessment of pancreatic leak with dynamic secretin-stimulated MR cholangiopancreatography.
作者信息
Gillams A R, Kurzawinski T, Lees W R
机构信息
Department of Medical Imaging, The Middlesex Hospital and University College London Medical School, Mortimer St., London W1T 3AA, England.
出版信息
AJR Am J Roentgenol. 2006 Feb;186(2):499-506. doi: 10.2214/AJR.04.1775.
OBJECTIVE
The management of pancreatic duct disruption is complex and depends on several factors including the cause, morphology, and degree of disruption. ERCP can show duct disruption in as many as 75% of patients but is invasive and cannot detect disruption beyond an obstruction. We studied the role of secretin MR cholangiopancreatography in patients with suspected pancreatic duct disruption.
CONCLUSION
Secretin MR cholangiopancreatography is a safe, noninvasive test that can provide additional useful information about duct integrity and facilitate management.
目的
胰管破裂的处理较为复杂，取决于多种因素，包括病因、形态及破裂程度。内镜逆行胰胆管造影（ERCP）可在多达75%的患者中显示胰管破裂，但具有侵入性，且无法检测到梗阻以外的破裂情况。我们研究了促胰液素磁共振胰胆管造影在疑似胰管破裂患者中的作用。
结论
促胰液素磁共振胰胆管造影是一种安全、无创的检查方法，可提供有关胰管完整性的额外有用信息并有助于治疗。
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