| 64层容积CT在直接性肝内门腔分流术穿刺定位中的应用 |
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| 引用本文： | 王剑华,周庭永,吕发金,张本斯,王勇,张慧,许伟.64层容积CT在直接性肝内门腔分流术穿刺定位中的应用[J].重庆医学,2011,40(18):1807-1809. |
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| 作者姓名： | 王剑华 周庭永 吕发金 张本斯 王勇 张慧 许伟 |
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| 作者单位： | 王剑华,张本斯,王勇,Wang Jianhua,Zhang Bensi,Wang Yong(大理学院解剖学教研室,云南大理,671000);周庭永,张慧,许伟,Zhou Tingyong,Zhang Hui,Xu Wei(重庆医科大学解剖学教研室,400016);吕发金,Lv Fajin(重庆医科大学附属第一医院放射科,400016) |
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| 摘 要： | 目的通过64层容积CT(64-VCT)对门静脉左、右支与肝后下腔静脉模拟穿刺途径的角度进行测量,以期为临床直接性肝内门腔分流术(DIPS)提供解剖学资料。方法将接受64-VCT检查的60例患者分为非肝病组(n=43,非肝病患者)与肝硬化组(n=17,肝硬化患者)。采用64-VCT扫描仪(GE,美国)、双筒CT专用高压注射器(Nemoto,日本)进行操作,并将所得数据在GE ADW4.2工作站进行处理。结果非肝病组及肝硬化组,门静脉左、右支1、2 cm处与肝后下腔静脉的模拟穿刺途径,下等分线入口顺行角度均大于上等分线相应途径角度(P<0.05);门静脉左、右支1 cm处与肝后下腔静脉上、下等分线的模拟穿刺途径出口角度大于门静脉左、右支2 cm处相应途径角度(P<0.05)。结论 64-VCT可提供活体解剖学资料,有助于DIPS的穿刺定位。
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| 关 键 词： | 计算机体层摄影 门腔分流术 外科 肝硬化 |
Application of 64-slice volume CT in the puncture localization in direct intrahepatic portacaval shunt |
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| Wang Jianhua,Zhou Tingyong,Lv Fajin,Zhang Bensi,Wang Yong,Zhang Hui,Xu Wei.Application of 64-slice volume CT in the puncture localization in direct intrahepatic portacaval shunt[J].Chongqing Medical Journal,2011,40(18):1807-1809. |
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| Authors: | Wang Jianhua Zhou Tingyong Lv Fajin Zhang Bensi Wang Yong Zhang Hui Xu Wei |
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| Institution: | Wang Jianhua1,Zhou Tingyong2,Lv Fajin3,Zhang Bensi1,Wang Yong1,Zhang Hui2,Xu Wei2(1.Department of Anatomy,Dali University,Dali,Yunnan 671000,China,2.Department of Anatomy,Chongqing Medical University,Chongqing 400016,3.Department of Radiology,First Affiliated Hospital,China) |
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| Abstract: | Objective To measure the angle of analog puncture approach between left and right branch of portal vein and retrohepatic segment of inferior vane cava by means of 64-slice volume CT(64-VCT),and provide anatomical data for clinical direct intrahepatic portacaval shunt(DIPS).Methods 60 patients accepted 64-VCT examination were divided into non liver cirrhosis group(n=43,patients with non-liver cirrhosis) and liver cirrhosis group(n=17,patients with liver cirrhosis).64-VCT scanner(GE,USA) and CT-specific binoc... |
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| Keywords: | computed tomographic portacaval shunt surgical liver cirrhosis |
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