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引流管胆道造影后多层CT检查胆道重建技术的临床应用
引用本文:彭谦,范淼,李子平. 引流管胆道造影后多层CT检查胆道重建技术的临床应用[J]. 中华普通外科学文献(电子版), 2008, 2(4): 43-45
作者姓名:彭谦  范淼  李子平
作者单位:中山大学附属第一医院放射科,广州,510080
摘    要:目的探讨多层CT胆道造影(MSCTC)在梗阻性黄疸患者术前综合评价中的应用价值。方法20例梗阻性黄疸患者术前进行了经皮肝胆管造影(PTC)或内窥镜逆行胰胆管造影(ERCP)置管,全部病例实施了MSCTC扫描,对图像进行了多平面重建(MPR)、容积再现(VR)、最大密度投影(MIP)及血管探针技术(VP)处理,判断胆道情况并与术中术后结果进行对照。结果20例患者中,MPR病因诊断准确率为100%。对于胆道一级分支受累的胆管癌患者VR、MIP、VP均能准确判断。VR、MIP、VP对于肝内外胆管结石患者诊断基本正确。胰头肿物以及胆管狭窄患者术前MSCTC后处理技术均能得到较完美的胆树成像。结论MSCTC可作为术前全面评价梗阻陛黄疸患者的一种可靠检查方法。

关 键 词:多层  体层摄影术,X线计算机  胆道造影术  胆管梗阻

Evaluation of the image reconstruction technique after multislice CT cholangiography through bile duct drainage -tube
PENG Qian,FAN Miao,LI Zi-ping. Evaluation of the image reconstruction technique after multislice CT cholangiography through bile duct drainage -tube[J]. Chinese Journal of General Surgery(Electronic Version), 2008, 2(4): 43-45
Authors:PENG Qian  FAN Miao  LI Zi-ping
Affiliation:( Department of Radiology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China )
Abstract:Objective To evaluate the value of multislice CT cholangiography(MSCTC) through drainage-tube in patients with bile duct obstruction pre-operation.Methods Twenty cases with bile duct obstruction were put drainage-tube in bile duct by PTC or ERCP.All these cases were undergone MSCTC scanning examination pre-operation.Multi-planar reformation(MPR) ,volume rendering(VR) ,maximum intensity projection(MIP) and CT vessel probe(VP) reformation were performed to observe liver and bile duct.To compared these images ...
Keywords:Multislice  Tomography  X-ray computed  Cholangiography  Bile duct obstruction  
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