| CT瘘管造影在复杂性多分支瘘中的临床应用 |
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| 引用本文： | 徐向阳,熊枝繁,赵志辉,黄德珍,刘祥.CT瘘管造影在复杂性多分支瘘中的临床应用[J].放射学实践,2007,22(9):961-963. |
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| 作者姓名： | 徐向阳 熊枝繁 赵志辉 黄德珍 刘祥 |
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| 作者单位： | 华中科技大学同济医学院附属梨园医院放射科,武汉,430077;华中科技大学同济医学院附属梨园医院消化科,武汉,430077;华中科技大学同济医学院附属梨园医院外科,武汉,430077 |
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| 摘 要： | 目的:探讨CT瘘管造影在复杂性多分支窦瘘中的临床应用价值.方法:对7例复杂性多分支瘘管患者进行CT瘘管造影检查,对图像进行最大密度投影(MIP)、多平面重建和曲面重建(MPR/CPR)及三维表面重建(3D-SSD)处理.结果:CT瘘管造影及其后处理影像清晰显示了复杂多分支瘘管系统.2例复杂性多分支瘘管患者经CT瘘管造影分别发现为邻近骶髂关节的病变和盆腔内畸胎瘤所致,另有1例显示了复杂性多分支瘘管病变累及骶尾椎,对比剂进入骶管.CT瘘管造影所见与手术一致.结论:CT瘘管造影有利于复杂性多分支瘘管系统的显示及术前准备.
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| 关 键 词： | 瘘 体层摄影术 X线计算机 诊断 |
| 文章编号： | 1000-0313（2007）09-0961-03 |
| 修稿时间： | 2006-12-28 |
Clinical Application of Spiral CT Fistulography in Diagnosis of Complicated Multi-branch Fistula |
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| XU Xiang-yang, XIONG Zhi-fan,ZHAO Zhi-hui,et al..Clinical Application of Spiral CT Fistulography in Diagnosis of Complicated Multi-branch Fistula[J].Radiologic Practice,2007,22(9):961-963. |
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| Authors: | XU Xiang-yang XIONG Zhi-fan ZHAO Zhi-hui |
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| Institution: | Department of Radiology, Liyuan Hospital, Tongji Medical College, Huazhong Science and technology University,Wuhan 430077 ,P. R. China |
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| Abstract: | Objective:To assess the clinical application of spiral CT fistulography in diagnosing complicated multi-branch fistula.Methods:Spiral CT fistulography were examed in 7 patients with complicated multi-branch fistula.The CT image postprocessing such as MPR/CPR and 3D SSD was performed.Results:Spiral CT fistulography with three-dimensional postprocessing techniques can clearly show the origin and branches of complicated multi-branch fistula in all cases.Sacrococcygeal teratoma and the lesion adjacent to sacroiliac joint were respectively found in 2 cases.1 of 2 cases involved sacrococcyx and sacral canal.The appearances in CT fistulography were accordant with operation.Conclusion:Spiral CT fistulography with 3D postprocessing is helpful for detecting complicated multi-branch fistula and preoperative plan. |
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| Keywords: | Fistula Tomography X-ray computed Diagnosis |
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