多层螺旋CT三维胆系成像对胆道梗阻的诊断价值

多层螺旋CT三维胆系成像对胆道梗阻的诊断价值

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世界华人消化杂志 2006年12月18日; 14(35): 3430-3432

ISSN 1009-3079 CN 14-1260/R

临床经验 CLINICAL PRACTICE

多层螺旋CT三维胆系成像对胆道梗阻的诊断价值

钟 华, 张宗明, 朱建平, 宿砚明, 李 刚, 郭金星

■背景资料

早期普通CT检查对胆道梗阻原因诊断的准确率较低, 与MRCP检查的诊断准确率存在一定差距, 应用MSCT的检查对胆道梗阻原因进行诊断, 和早期普通CT检查进行对比, 其优越性被越来越多的研究报道.

钟华, 张宗明, 朱建平, 宿砚明, 李刚, 郭金星, 清华大学第一附属医院消化医学中心普外科 北京市 100016

通讯作者: 钟华, 100016, 北京市朝阳区酒仙桥一街坊6号, 清华大学第一附属医院消化医学中心普外科. zhonghuabeijing@http://www.wendangwang.com

电话: 010-64372362 传真: 010-64361322

收稿日期: 2006-10-10 接受日期: 2006-10-14

Value of multislice helical CT cholangiography in diagnosis of biliary obstruction

Hua Zhong, Zong-Ming Zhang, Jian-Ping Zhu, Yan-Ming Su, Gang Li, Jin-Xing Guo

Hua Ming Su, Gang Li, Jin-Xing Guo, Zhong, Zong-Ming Zhang, Surgery, Digestive Medical Center, the First Affiliated HosDepartment of General Jian-Ping Zhu, Yan-pital of Tsinghua University, Beijing 100016, China

-Correspondence Surgery, Digestive Medical Center, the First Affiliated Hosto: Hua Zhong, Department of General pital of Tsinghua University, Beijing 100016, -China. zhonghuabeijing@http://www.wendangwang.com

Received: 2006-10-10 Accepted: 2006-10-14

Abstract

AIM:CT cholangiography To evaluate the value of multislice helical (MSCTC) in the diagnosis for the obstruction of biliary duct.

METHODS: tive jaundice received routine and enhanced CT A total of 36 patients with obstruc-scanning sional was performed. MSCTC findings were comparaimage on midsection, reconstruction and then cholangiography three-dimen-tively analyzed with the operational and patho--logical results.

RESULTS: biliary MSCTC was 100%. According to the operational stone, In the 18 accuracy patients rate with of extrahepatic diagnosis by and with pathological (12 biliary duct or results, pancreatic 18 cases head were found 3 bile duct cancers, 1 gallbladder carcinoma, carcinoma choledochal pancreatic head carcinomas and 2 congenital rectly cysts), of which 17 cases were cor-rate was above 94.4%.

diagnosed by MSCTC, and the accuracy CONCLUSION: MSCTC is effective in the diag-

nosis of biliary obstruction, and it can be used to guide clinical therapy.

Key Words: Multislice helical computed tomogra-phy; Obstruction of biliary duct; Three-dimensional image reconstruction cholangiography

Zhong H, Zhang ZM, Zhu JP, Su YM, Li G, Guo JX. Value of multislice helical CT cholangiography in diagnosis of 2006;14(35):3430-3432

biliary obstruction. Shijie Huaren Xiaohua Zazhi 摘要

目的: 探讨多层螺旋CT三维胆系成像(MSCTC)对胆道梗阻的诊断价值.

方法: 应用MSCT对36例梗阻性黄疸患者进行上腹部的常规及增强扫描, 并用增强扫描数据进行三维胆系成像, 对胆道梗阻原因进行定位和定性诊断, 并与手术所见及术后病理结果进行对比.

结果: 18例肝外胆管结石患者, 术前MSCTC定位、定性诊断准确率达到100%. 18例胆道或胰头肿瘤患者(12例为胆管癌, 胆囊癌1例, 胰头癌3例, 先天性胆总管囊肿2例)中, 17例得到MSCTC正确诊断, 术前MSCTC定位、定性诊断准确率达到94.4%.

结论: MSCTC对胆道梗阻诊断有重要价值, 可进一步指导临床手术治疗.

关键词: 多层螺旋CT; 胆道梗阻; 三维胆系成像

钟华, 张宗明, 朱建平, 宿砚明, 李刚, 郭金星. 多层螺旋CT

三维胆系成像对胆道梗阻的诊断价值. 世界华人消化杂志 2006;14(35):3430-3432

http://www.wendangwang.com/1009-3079/14/3430.asp

0 引言

胆道梗阻是外科一种常见疾病, 常见原因为肝外胆管结石、胆管肿瘤、胰头肿瘤等, 准确判断胆道梗阻原因及病变程度对于术前制定手术方案、减少手术探查时间、判断和评估患者预后有重要意义. 随着CT机的不断更新换代, 多层

多层螺旋CT三维胆系成像对胆道梗阻的诊断价值

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