[胰腺疾病中球囊内镜逆行胰胆管造影下的三维CT胰腺成像——其方法及应用价值]

[Three-dimensional-CT pancreatography under balloon-ERP in the pancreatic diseases--its method and usefulness].

作者信息

Ueki T, Sakaguchi S, Ohara J, Tanaka M, Yorioka M, Yamamoto J, Ueki M, Sakurai T, Yao T

机构信息

Department of Gastroenterology, Chikushi Hospital, Fukuoka University.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 1996 Sep;93(9):634-43.

PMID:8965389

Abstract

Three-dimensional-CT pancreatography (3D-CTP) under balloon-ERP was carried out in 13 patients with the pancreatic diseases. Tapering stenosis of pancreatic duct in 2 patients out of 2 with pancreatic cancer, shape of cyst and relationship between cyst and pancreatic duct in 7 patients out of 7 with pancreatic cysts, and irregularity of wall of pancreatic duct in 2 patients out of 3 with chronic pancreatitis was reconstructed by 3D-CTP, stereographically. Moreover, the confluence of cyst and pancreatic duct in 3 out of 7 pancreatic cysts did not become clear on balloon-ERP, but it was distinct on 3D-CTP. It is suggested that 3D-CTP is useful in understanding pancreatic diseases stereographically, and can be applied to operative simulation, interventional radiology and differential diagnosis on them.

摘要

对13例胰腺疾病患者进行了气囊内镜逆行胰胆管造影术（ERP）下的三维CT胰管造影（3D - CTP）检查。通过3D - CTP立体重建出2例胰腺癌患者中2例的胰管逐渐变细狭窄情况、7例胰腺囊肿患者中7例的囊肿形态及囊肿与胰管的关系，以及3例慢性胰腺炎患者中2例的胰管壁不规则情况。此外，7例胰腺囊肿中有3例在气囊ERP下囊肿与胰管的汇合情况不清晰，但在3D - CTP上则很明显。提示3D - CTP有助于立体地了解胰腺疾病，可应用于手术模拟、介入放射学及对它们的鉴别诊断。