| 胆道梗阻性病变的多层螺旋CT成像应用 |
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| 引用本文： | 蒋黛蒂,林江,张雪梅,陆月红,康建平,詹青霞.胆道梗阻性病变的多层螺旋CT成像应用[J].中国临床医学,2009,16(4):616-619. |
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| 作者姓名： | 蒋黛蒂 林江 张雪梅 陆月红 康建平 詹青霞 |
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| 作者单位： | 1. 复旦大学附属中山医院青浦分院放射科,上海,201700
2. 复旦大学附属中山医院放射科,上海,200032 |
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| 基金项目： | 上海市青浦区科技发展基金项目(No:青科发2006-38) |
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| 摘 要： | 目的：探讨多层螺旋CT（MSCT）成像技术对胆系梗阻性病变的诊断价值。方法：收集的经手术病理、内镜逆行胰胆管造影（ERCP）及临床随访证实的胆系梗阻性病变62例，行MSCT检查作图像处理后进行分析，相关资料进行比较。结果：恶性病变21例，胆管癌6例，胆囊癌侵犯或转移累及胆管6例，胆囊并胆管癌1例，胰头癌累及胆管2例，壶腹部癌6侧。良性病变41例，胆管结石32例，胆管炎8例，其中4例伴胆管结石，十二指肠绒毛腺瘤1例。胆道梗阻性病变诊断定位准确率、定性符合率分别为98．39％和83．87％；恶性病变定位准确率和定性符合率分别为100％和95．24％。良性病变定位准确率和定性符合率分别为97．56％和78．05％。比较增强后常规横断面图像和后处理图像的价值，结果表明应用图像后处理技术能增强诊断信心、补充信息、纠正诊断。结论：MSCT成像技术是胆系梗阻病变检查的有效手段，尤其对恶性病变能直观清晰显示病变范围和程度，为临床治疗和估计预后提供依据。
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| 关 键 词： | 胆道梗阻 多层螺旋CT |
Clinical Research of Biliary Tract Obstructive Diseases by Multi-slice Spiral Computed Tomography |
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| JIANG Daidi,LIN Jiang,ZHANG Xuemei,LU Yuehong,KANG Jianping,ZHAN Qingxia.Clinical Research of Biliary Tract Obstructive Diseases by Multi-slice Spiral Computed Tomography[J].Chinese Journal Of Clinical Medicine,2009,16(4):616-619. |
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| Authors: | JIANG Daidi LIN Jiang ZHANG Xuemei LU Yuehong KANG Jianping ZHAN Qingxia |
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| Institution: | JIANG Daidi1 LIN Jiang2 ZHANG Xuemei1 LU Yuehong1 KANG Jianping1 ZHAN Qingxia1 1.Department of Radiology,Qingpu Branch of Zhongshan Hospital,Fudan University Shanghai 201700,China,2.Department of Radiology,Zhongshan Hospital,Fudan University Shanghai 200032 |
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| Abstract: | Objective:To evaluate Multi-slice spiral computed tomography(MSCT)technique in diagnosing biliary obstructive diseases.Methods:Sixty-two cases confirmed with surgical pathology,endoscopic retrograde cholangiopancreatography(ERCP)and clinical follow-up,together with their MSCT post processed images were collected and analyzed and then were furthermore compared with correlative data. Results:Among 21 cases of malignancy included cholangiocarcinoma 6,gallbladder carcinoma with invasion or metastasis to biliary... |
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| Keywords: | Biliary obstruction Multi-slice spiral computed tomography |
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