cholangiectasis

Imaging Diagnosis of Congenital Cholangiectasis : Report of 40 Cases

先天性胆管扩张症40例影像学诊断分析

The hepatic lobe atrophy was found in 10 patients , Intrahepatic cholangiectasis in 12 cases , metastasis of lymphnodes in 5 cases , infiltration of intrahepatic vein in 7 cases and metastasis of liver in 2 cases .

10例可见病变局部肝叶萎缩，12例可见肝内胆管扩张，淋巴结转移5例，肝内血管受侵7例，肝内转移2例。

CT diagnosis and classification of pediatric cholangiectasis ( analysis of 97 cases )

儿童胆管扩张症的CT诊断及分型（附97例分析）

Objective To summarize the experience of surgical treatment for congenital cholangiectasis .

目的总结先天性胆总管囊肿手术治疗的经验体会。

Objective To study the value of helical CT in diagnosing congenital cholangiectasis .

目的探讨螺旋CT在先天性胆管扩张症的诊断价值。

Objective : To study the diagnostic value and classified methods of pediatric cholangiectasis with CT examination .

目的：探讨CT检查对儿童胆管扩张症的诊断价值及分型方法。

Observing markers included : ( a ) degree of cholangiectasis ;

观察指标包括：①胆管扩张程度；

MRI and CT Diagnosis of Infant Congenital Cholangiectasis

儿童先天性胆管扩张症CT、MRI诊断

To study 56 cases children with obstructive jaundice without cholangiectasis and to investigate the clinical characteristic and the operating time and effects .

研究56例无胆道扩张的新生儿及婴儿梗阻性黄疸的临床特点及外科手术时机及效果。

Methods CT and MRI features were analyzed with clinic , cause and pathology in 40 patiens with congenital cystic cholangiectasis .

方法对40例先天性胆管囊性扩张症的CT及MRI表现与临床、病理进行分析和探讨。

Results : In all cases , lump in hepatic hilar region and intrahepatic cholangiectasis were showed in MRI and MRCP .

结果：28例肝门区恶性病变在平扫和MRCP中均可见肝门区肿块、肝内胆管扩张。

The intrahepatic cholangiectasis was found in 11 patients , and intrahepatic bile duct stone in 5 patients . Hepatic lobe atrophy existed in 5 patients .

肝内胆管扩张11例，肝内胆管结石5例，肝叶萎缩5例，局部肝轮廓凹陷4例。

Results The incidence rate of patients with severe jaundice was 61.76 % ( 21 / 34 ), and the rate of intrahepatic cholangiectasis and cholangitis was 82.35 % ( 28 / 34 ) .

结果深度黄疸患者占61.76%（21/34），合并肝内胆管扩张、肝内胆管炎占82.35%（28/34），而胆囊壁光滑及囊内回声无异常者达85.29%（29/34）。

The relationship between the connection of pancreaticobiliary duct and abnormal confluence was observed by analysing the results of ERCP before operation and bile Amy determination during operation of 38 patients with congenital cystic cholangiectasis and 20 patients with choledocholithiasis .

通过对38例先天性胆管囊性扩张症和20例胆总管结石患者术前ERCP、术中胆汁Amy测定结果的分析，观察胰胆管联结与异常合流的关系。

Conclusion : CT is an important diagnostic method in pediatric cholangiectasis , because firstly , CT can accurately show the pathological positions of cholangiectasis and the relationship between biliary duct and the organs around it , and secondly , CT is also a non-traumatic examination .

结论：CT能清楚地显示扩张胆管的部位及其与周围结构的关系并且无创伤，因此CT是儿童胆管扩张症的重要检查方法。

Results Choledocholithiasis was confirmed in 34 cases , pancreatic head mass in 5 , biliary tumor in 2 and congenital cholangiectasis in 1 . With EUS the positive detection rate rose to 97.7 % , the diagnostic accuracy being 88.4 % when compared with that of surgery and pathology .

结果EUS诊断为胆总管结石34例，胰头占位性病变5例，胆道系统肿瘤2例，先天性胆道扩张1例。EUS检查阳性率97.7%，与手术和病理对照正确率为88.4%。

Results The infiltrating type have 18 case in the 24 case of hepatic hilum part cholangiocarcinoma , lump and nodus type have 6 case , kinesis enhance check can show clearly the focus of infection feature and exterior and interior cholangiectasis of liver and bile duct wall thickening anomalism et.

结果24例肝门部胆管癌中浸润型18例，肿块及结节型6例，动态增强检查更能清晰显示病灶特点及肝内外胆管扩张和胆管壁增厚不规则等。