胆总管囊肿儿童磁共振胆胰管成像和多层螺旋CT表现特征分析*

doi:10.3969/j.issn.1672-5069.2025.06.037

实用肝脏病杂志 ›› 2025, Vol. 28 ›› Issue (6): 946-949.doi: 10.3969/j.issn.1672-5069.2025.06.037

胆总管囊肿儿童磁共振胆胰管成像和多层螺旋CT表现特征分析^*

张领, 徐明雷

215000 江苏省苏州市苏州大学附属儿童医院医学影像科

收稿日期:2025-06-18 出版日期:2025-11-10 发布日期:2025-11-13
通讯作者: 徐明雷,E-mail:18012621523@163.com
作者简介:张领,男,36岁,大学本科,主管技师。E-mail:m13338660996@163.com
基金资助:
^*江苏省基础研究计划基金资助项目(编号:BK20211076)

Magnetic resonance cholangiopancreatography and multi-slice spiral CT feature in children with congenital choledochal cysts: An analysis of 89 caces

Zhang Ling, Xu Minglei

Department of Radiology, Children's Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China

Received:2025-06-18 Online:2025-11-10 Published:2025-11-13

摘要/Abstract

摘要： 目的分析总结先天性胆总管囊肿(CCC)儿童磁共振胆胰管成像(MRCP)和多层螺旋CT(MSCT)表现特征。方法 2019年2月～2024年12月苏州大学附属儿童医院收治的CCC儿童89例,均接受MRCP和MSCT检查,常规行Todani分类。结果经MRCP检查,CCC患儿胆总管伴有不同程度的囊形、梭形或柱状扩张;Todani I型69例(77.5%),其中Ⅰa型63例,Ⅰb型和Ⅰc型各3例;MRCP检查显示囊肿位于肝门至胰头之间,囊肿直径在1.2～6.9 cm,其中合并囊肿结石35例。伴发肝内胆管扩张21例,Ⅱ型、Ⅲ型和Ⅳ型分别有10例(11.2%)、2例(2.3%)和8例(9.0%);MSCT诊断TodaniⅠ型有70例(78.7%),其中TodaniⅠa型有64例、Ⅰb型3例和Ⅰc型有3例,TodaniⅡ型9例(10.1%)、Todani Ⅲ型3例(3.4%)和Todani Ⅳ型7例(7.9%)。结论 MRCP和MSCT能够显示出胆囊和胆管系统的形态、结构及囊肿的位置和大小,提供Todani分型,可为临床诊断和手术治疗提供依据。

关键词: 胆总管囊肿, 磁共振胆胰管成像, 多层螺旋CT, 表现特征, 儿童

Abstract: Objective The aim of this study was to summarize magnetic resonance cholangiopancreatography (MRCP) and multi-slice spiral CT (MSCT) feature in children withcongenital choledochal cysts (CCC). Methods 89 children with CCC were encountered in our Children's Hospital Affiliated to Soochow University between February 2019 and December 2024, and all underwent MRCP and MSCT scan. Results By MRCP, the common bile duct of children with CCC was accompanied by varying degrees of cystic, fusiform or columnar dilation, and Todani type I accounted for 77.5% (type Ⅰa in 63 cases,Ⅰb in 3 cases and Ⅰc in 3 cases, and type Ⅱ in 10 cases(11.2%), type Ⅲ in 2 cases (2.2%) and type Ⅳ in 8 cases (9.0%); MSCT scan diagnosed that Todani typeⅠ in 70 cases(78.7%), Todani typeⅠa in 64 cases, typeⅠb in 3 cases and type Ⅰc in 3 cases), and Todani type Ⅱ in 9 cases (10.1%), Todani type Ⅲ in 3 cases (3.4%) and Todani type Ⅳ in 7 cases(7.9%). Conclusion MRCP and MSCT scan could reveal the location, Morphology and structure of the bile duct system in children with CCC, which provide a basis for the clinical diagnosis and management.

Key words: Congenital choledochal cyst, Magnetic resonance cholangiopancreatography, Multi-slice spiral CT scan, Imaging feature, Children

张领, 徐明雷. 胆总管囊肿儿童磁共振胆胰管成像和多层螺旋CT表现特征分析^*[J]. 实用肝脏病杂志, 2025, 28(6): 946-949.

Zhang Ling, Xu Minglei. Magnetic resonance cholangiopancreatography and multi-slice spiral CT feature in children with congenital choledochal cysts: An analysis of 89 caces[J]. Journal of Practical Hepatology, 2025, 28(6): 946-949.

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胆总管囊肿儿童磁共振胆胰管成像和多层螺旋CT表现特征分析^*

Magnetic resonance cholangiopancreatography and multi-slice spiral CT feature in children with congenital choledochal cysts: An analysis of 89 caces

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