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时间:2020-05-03
《急性肝炎致肝内淋巴淤滞及胆囊壁增厚的磁共振成像表现-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、【l】国茔科医学ml珀剀孵n满r·723··全科医生技能发展·急性肝炎致肝内淋巴淤滞及胆囊壁增厚的磁共振成像表现冯少仁,林云,钟恢海,付海洪,熊淑红【摘要】、目的探讨急性肝炎致肝内淋巴淤滞(ILS)及胆囊壁增厚的磁共振成像(MRI)表现及其临床意义。方法选取南昌大学附属新余医院2006-2012年MRI诊断为急性肝炎致ILS及胆囊壁增厚的患者15例,其中戊型肝炎1O例、甲型肝炎3例、乙型肝炎2例,8例行MRI平扫加增强,7例行MRI平扫。回顾性分析MRI平扫及增强表现。结果15例患者MRI平扫于T1W
2、I、T2WI示肝内门静脉周围长T1、长1、2信号的双轨道征或靶征,肝内下腔静脉周围呈环行或前方弧形长T1、长信号。胆囊壁环形增厚,呈稍长T1、稍长信号,边界清楚,胆囊周围少量积液。8例MRI增强扫描示肝内门静脉、下腔静脉周围未见强化,肝内门静脉周围呈双轨征或靶征,下腔静脉周围呈环征或前弧形征。胆囊壁中度均匀环形强化,胆囊周围积液未见强化。结论急性肝炎致ILS及胆囊壁增厚MRI表现具有特征性和较高敏感性,因而对本病有重要诊断价值,可为临床评价急性肝炎致肝脏损害程度提供影像学依据。【关键词】肝炎,甲型;肝
3、炎,乙型;肝炎,戊型;磁共振成像【中图分类号】R575.1【文献标识码】Adoi:10.3969/j.issn.1007—9572.2014.06.034冯少仁,林云,钟恢海,等.急性肝炎致肝内淋巴淤滞及胆囊壁增厚的磁共振成像表现[J].中国全科医学,2014,17(6):723—725.[WWW.chinagp.net]MDisplayingofAcuteHepatitisCausingIntrahepaticLymphaticStasisandGallbladderWallThickeningFE
4、NGShao—ren,LINYun,ZHONGHui—hai,eta1.DepartmentofMR,XinyuHospitalAffiliatedtoNanchangUniversity,Xinyu338004,China【Abstract】ObjectiveToinvestigatethedisplayingofmagneticresonanceimaging(MRI)anditssignificanceinthediagnosisofintrahepaticlympllaticstasis(IL
5、S)causedbyacutehepatitisandgallbladderwallthickening.Methods15casesdi—agnosedwithILSandgallbladderwallthickeningcausedbyacutehepatitisbyMRIadmittedtotheXinyuHospitalAfiliatedtoNanchangUniversityfrom2006to2012wereselected.Amongthepatients,10caseswerehepa
6、titisE,3werehepatitisAand2werehepatitisB.8casesweregivenenhancedplainMRIscanand7casesweregivenMRIplainscan.ThescananddisplayingoftheMR1wereretrospectivelyanalyzed.ResultsLongT1longT2signalwasfoundwithdoubletracksignortargetsignsurround—ingthehepat—porta
7、lveininT1WIandT2WIseries,whileLongT1longT2signalwasfoundwithcircleorvaultedshapesur-roundingtheinferiorvcnacava.Thegallbladderwallwasthickeningcircumferentially,displayingslightlylongT1slightlylongT2signalwithclearboundaryandsmallamountoffluidaroundtheg
8、allbladder.The8casesofenhancedscanshowednoenhancementinhepat—portalveinandinferiorvenacava,withhepat—portalveindisplayingdoubletracksignortargetsignandinferiorvenacavadisplayingcircleorvaultedshape.Thegallbladderwallshowedcircumf
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