Van Gansbeke D, Rypens F, Dumonceau J M, Lalmand B, Delhaye M, Zalcman M, Devière J
Service de Radiologie, Hôpital Erasme, Université Libre de Bruxelles, Belgium.
J Belge Radiol. 1995 Apr;78(2):102-4.
Chronic pancreatitis is characterized by the formation of intraductal precipitates that may later grow and calcify, forming large stones. These calcified stones, representing almost all the calcifications visible in chronic pancreatitis, are located in the major pancreatic duct or in the secondary branches. During the past 10 years, new sophisticated endoscopic techniques have been developed to remove obstructing calculi from the main pancreatic duct. These techniques require an accurate evaluation of the location of the calculi, since calculi cannot be removed from secondary branches. Therefore, a new radiological approach has been developed, based on helicoidal scanning and multiplanar and tridimensional reconstructions of the calculi layout.
慢性胰腺炎的特征是导管内形成沉淀物,这些沉淀物随后可能会生长并钙化,形成大的结石。这些钙化结石几乎代表了慢性胰腺炎中可见的所有钙化,位于主胰管或二级分支中。在过去的10年里,已经开发出了新的精密内镜技术来清除主胰管中的阻塞性结石。由于结石无法从二级分支中取出,这些技术需要对结石的位置进行准确评估。因此,基于螺旋扫描以及结石布局的多平面和三维重建,开发出了一种新的放射学方法。