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16排螺旋CT血管成像对腹腔镜下胃切除术的价值
引用本文:付传明,郭国梅,龚晓红,陈文,陈伦刚,陈杰,汪令生.16排螺旋CT血管成像对腹腔镜下胃切除术的价值[J].临床放射学杂志,2008,27(10).
作者姓名:付传明  郭国梅  龚晓红  陈文  陈伦刚  陈杰  汪令生
作者单位:1. 郧阳医学院附属太和医院影像科CT室,十堰,442000
2. 湖北省十堰市竹溪县医院放射科,442300
摘    要:目的 探讨腹腔镜辅助下胃切除术前16排螺旋CT血管造影(MSCTA)评价胃周血管解剖的价值. 资料与方法 24例拟行腹腔镜辅助下胃远端切除术的患者行MSCT双期扫描,其动、静脉期图像采用容积再现重组技术分别行三维CTA. 结果 24例中三维CTA准确显示胃左动脉24例,胃右动脉23例,胃左静脉24例.6例CTA伴有替代肝左动脉.CTA显示胃左动脉、胃左静脉和替代肝左动脉敏感性和阳性预测值均为100%;显示胃右动脉敏感性为100%,阳性预测值为96%. 结论 MSCTA能够准确评价胃的血管解剖,有利于腹腔镜辅助下胃远端切除术.

关 键 词:  腹腔镜  胃切除术  体层摄影术  X线计算机

Value of 16-slice CT Angiography in Preoperative Assessment of Vascular Anatomy of Stomach Before Laparoscopy-assisted Gastrectomy
FU Chuanming,GUO Guomei,GONG Xiaohong,et al..Value of 16-slice CT Angiography in Preoperative Assessment of Vascular Anatomy of Stomach Before Laparoscopy-assisted Gastrectomy[J].Journal of Clinical Radiology,2008,27(10).
Authors:FU Chuanming  GUO Guomei  GONG Xiaohong  
Institution:FU Chuanming,GUO Guomei,GONG Xiaohong,et al.Department of Radiology,Taihe Hospital,Yunyang Medical Colledge,Shiyan,Hubei Province 442000,P.R.China
Abstract:Objective To evaluate the value of CT angiography(CTA) in the preoperative assessment of the vascular anatomy of the stomach before laparoscopy assisted gastrectomy.Materials and Methods 24 consecutive patients for laparoscopy assisted gastrectomy underwent dual phase enhancement scanning on MSCT.Three-dimensional CT angiography was reconstructed using volume rendering technique based on arterial phase images and venous phase images.Resu-lts Three-dimensional CTA showed the left gastric artery in 24 cases,r...
Keywords:Stomach Laparoscopy Gastrectomy Tomography  X-ray computed  
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