Analysis on MRI manifestation of recurrent pyogenic cholangitis accompanied with intrahepatic cholangiocarcinoma / 中国医学装备

ABSTRACT

Objective:To investigate the MRI manifestation of recurrent pyogenic cholangitis accompanied with intrahepatic cholangiocarcinoma.Methods: A total of 230 patients with recurrent pyogenic cholangitis were selected from our hospital. 64 patients were made a diagnosis with intrahepatic cholangiocarcinoma by pathology and MRI and were brought into our research. Their clinical data was analyzed to investigate their MRI manifestation. Results: Compared with non-atrophy liver lobes, the morbidity of cholangiocarcinoma was higher in atrophy liver lobes (78.18%vs.28.77%,P<0.001).Compared with liver lobes without hepatic portal vein blocking, the morbidity of cholangiocarcinoma was higher in liver lobes with hepatic portal vein blocking (78.18%vs.28.77%,P<0.001). Compared with liver lobes without hepatolith, the morbidity of cholangiocarcinoma was higher in liver lobes with hepatolith (65.00%vs.36.76%,P=0.001).Conclusion: Recurrent pyogenic cholangitis accompanied with intrahepatic cholangiocarcinoma mainly occurs in atrophy liver lobes, liver lobes with hepatic portal vein blocking and liver lobes with hepatolith. The main MRI manifestation of cholangiocarcinoma is less blood supply, but few neoplasms have much blood supply.