黄色肉芽肿性胆囊炎的MRI征象分析
摘要
目的探讨黄色肉芽肿性胆囊炎的MRI影像特征。方法收集25例经病理证实为黄色肉芽肿性胆囊炎患者的术前MRI影像,观察胆囊壁增厚、胆囊壁内结节、黏膜是否有溃疡及是否有结石等征象。结果 25例患者中胆囊壁增厚24例,占96.0%,其中胆囊壁弥漫性增厚22例,占91.7%,局限性性增厚2例,占8.3%。胆囊结石19例,占76.0%。胆囊壁的黏膜层连续15例,胆囊壁不连续伴溃疡形成10例。胆囊壁T2WI高信号结节8例,表现为胆囊壁内大小不一的长T1、长T2信号。结论 MRI对黄色肉芽肿性胆囊炎的术前诊断有很大的价值,胆囊壁弥漫性增厚、胆囊壁内结节、胆囊结石及胆囊黏膜溃疡等是黄色肉芽肿性胆囊炎的常见影像征象。
引文
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[11]Sureka B,Singh VP,Rajesh SR,et al.Computed Tomography(CT)and Magnetic Resonance(MR)Findings in Xanthogranulomatous Cholecystitis:Retrospective Analysis of Pathologically Proven 30 Cases-Tertiary Care Experience[J].Pol J Radiol,2017,82:327-332.
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[15]贺中云,方向军,田强,等.黄色肉芽肿性胆囊炎CT和病理特征[J].医学临床研究,2012,29(7):1302-1304,1309.
[16]Chun KA,Ha HK,Yu ES,et al.Xanthogranulomatous cholecystitis:CT features with emphasis on differentiation from gallbladder carcinoma[J].Radiology,1997,203(1):93-97.
[17]Goshima S,Chang S,Wang JH,et al.Xanthogran-ulomatous cholecystitis:diagnostic performance of CT to differentiate from gallbladder cancer[J].European Journal of Radiology,2010,74(3):79-83.
[18]高煜.黄色肉芽肿性胆囊炎的MRI诊断分析.医学临床研究[J],2014,11(31):2214-2216.
[19]Cui Y,Zhang H,Zhao E,et al.Differential diagnosis and treatment options for xanthogranulomatous cholecystitis[J].Med Princ Pract,2013,22(1):18-23.
[20]Parra JA,Acinas O,Bueno J,et al.Xanthogranulomatous cholecystitis:clinical,sonographic,and CT findings in 26 patients[J].American Journal of Roentgenology,2000,174(4):979-983.
[21]Zhao F,Lu PX,Yan SX,et al.CT and MR features of xanthogranulomatous cholecystitis:ananalysis of consecutive 49 cases[J].Eur J Radiol,2013,9(9):1391-1397.
[2]孙明,张黄华,孟祥文.黄色肉芽肿性胆囊炎的CT诊断[J].全科医学临床与教育,2016,14(1):89-91.
[3]朱玉春,王建良,周伟,等.螺旋计算机断层扫描对鉴别黄色肉芽肿性胆囊炎和厚壁型胆囊癌的价值[J].中华消化杂志,2012,32(8):514-518.
[4]Reed A,Ryan C,Schwartz S.Xanthogranulomatous cholecystitis[J].J Am Col Surg,1994,179:249-52.
[5]Takahashi K,Oka K,Hakozaki H,et al.Ceroid-like histiocytic granuloma of gall-bladder-a previously undescribed lesion[J].Acta Pathol Jpn,1976,26:25-46.
[6]Bilgin M,Shaikh F,Semelka RC,et al.Magnetic re sonance imaging of gallbladder and biliary system[J].Top Magn Reson Imaging,2009,20:31-42.
[7]Yang T,Zhang BH,Zhang J,et al.Surgical treatment of xanthogranulomatous cholecystitis:experience in 33 cases[J].Hepatobiliary Pancreat Dis Int,2007,6:504-508.
[8]Ueda J,Yoshida H,Arimay Y,et al.A case of xanthogranulomatous cholecystitis preoperatively diagnosed with contrast-enhanced ultrasonography[J].J Nihon Med Sch,2011,78:194-198.
[9]Lee ES,Kim JH,Joo I,et al.Xanthogranulomatous cholecystitis:diagnostic performance of US,CT,and MRI for differentiation from gallbladder carcinoma[J].Abdom Imaging,2015,40:2281-2292.
[10]Zhao F,Lu PX,Yan SX,et al.CT and MR features of xanthogranulomatous cholecystitis:an analysis of consecutive 49 cases[J].Eur J Radiol,2013,82:391-397.
[11]Sureka B,Singh VP,Rajesh SR,et al.Computed Tomography(CT)and Magnetic Resonance(MR)Findings in Xanthogranulomatous Cholecystitis:Retrospective Analysis of Pathologically Proven 30 Cases-Tertiary Care Experience[J].Pol J Radiol,2017,82:327-332.
[12]Chun KA,Ha HK,Yu ES,et al.Xanthogranulomatous cholecystitis(上接第604页):CT features with emphasis on differentiation from gallbladder carcinoma[J].Radiology,1997,203:93-97.
[13]Uchiyama K,Ozawa S,Ueno M,et al.Xanthogranulomatous cholecystitis:theuse of preoperative CT findings to differentiate it from gallbladder carcinoma[J].Journal of Hepato-BiliaryPancreatic Surgery,2009,16(3):333-338.
[14]Chang BJ,Kim SH,Park HY,et al.Distinguishing xanthogranulomatous chole-cystitis from the wall-thickening type of earlystage gallbladder cancer[J].Gutand Liver,2010,4(4):518-523.
[15]贺中云,方向军,田强,等.黄色肉芽肿性胆囊炎CT和病理特征[J].医学临床研究,2012,29(7):1302-1304,1309.
[16]Chun KA,Ha HK,Yu ES,et al.Xanthogranulomatous cholecystitis:CT features with emphasis on differentiation from gallbladder carcinoma[J].Radiology,1997,203(1):93-97.
[17]Goshima S,Chang S,Wang JH,et al.Xanthogran-ulomatous cholecystitis:diagnostic performance of CT to differentiate from gallbladder cancer[J].European Journal of Radiology,2010,74(3):79-83.
[18]高煜.黄色肉芽肿性胆囊炎的MRI诊断分析.医学临床研究[J],2014,11(31):2214-2216.
[19]Cui Y,Zhang H,Zhao E,et al.Differential diagnosis and treatment options for xanthogranulomatous cholecystitis[J].Med Princ Pract,2013,22(1):18-23.
[20]Parra JA,Acinas O,Bueno J,et al.Xanthogranulomatous cholecystitis:clinical,sonographic,and CT findings in 26 patients[J].American Journal of Roentgenology,2000,174(4):979-983.
[21]Zhao F,Lu PX,Yan SX,et al.CT and MR features of xanthogranulomatous cholecystitis:ananalysis of consecutive 49 cases[J].Eur J Radiol,2013,9(9):1391-1397.