| MSCT碘水造影结合三维重建诊断食管癌术后胸胃瘘 |
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| 引用本文： | 周晖,陈胜喜,刘进康,高阳,熊曾,周漠玲,陈浩. MSCT碘水造影结合三维重建诊断食管癌术后胸胃瘘[J]. 中国医学影像技术, 2013, 29(6): 949-952 |
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| 作者姓名： | 周晖 陈胜喜 刘进康 高阳 熊曾 周漠玲 陈浩 |
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| 作者单位： | 中南大学湘雅医院放射科, 湖南 长沙 410008;中南大学湘雅医院心胸外科, 湖南 长沙 410008;中南大学湘雅医院放射科, 湖南 长沙 410008;中南大学湘雅医院心胸外科, 湖南 长沙 410008;中南大学湘雅医院放射科, 湖南 长沙 410008;中南大学湘雅医院放射科, 湖南 长沙 410008;中南大学湘雅医院放射科, 湖南 长沙 410008 |
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| 基金项目： | 湖南省科技厅科研项目(2012TT2031、2012SK3193);湖南省自然科学基金(13JJ6012)。 |
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| 摘 要： | 目的 探讨MSCT碘水造影及三维重建技术对食管癌术后胸胃瘘的诊断价值。方法 回顾性分析9例具有完整临床资料的食管癌术后胸胃瘘患者的临床表现和吞服碘水后MSCT造影特征。结果 8例为单个瘘口,1例有2个瘘口;6例瘘口位于胃底部,3例瘘口位于胃体部;瘘口直径2~10 mm,瘘道长2~6 mm。MSCT碘水造影三维重建可以清晰、直观地显示胸胃瘘的瘘口与瘘道,明确瘘的确切位置、瘘口直径以及瘘的毗邻关系。结论 MSCT碘水造影结合三维重建是一种有效的确诊食管癌术后胸胃瘘的手段,可为制定治疗方案提供详细资料。
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| 关 键 词： | 胸胃瘘 图像处理,计算机辅助 体层摄影术,X线计算机 |
| 收稿时间： | 2012-11-07 |
| 修稿时间： | 2013-01-17 |
MSCT scanning after swallowing iodine solution and three-dimensional reconstruction in diagnosis of thoracogastric fistula after esophagectomy |
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| ZHOU Hui,CHEN Sheng-xi,LIU Jin-kang,GAO Yang,XIONG Zeng,ZHOU Mo-ling and CHEN Hao. MSCT scanning after swallowing iodine solution and three-dimensional reconstruction in diagnosis of thoracogastric fistula after esophagectomy[J]. Chinese Journal of Medical Imaging Technology, 2013, 29(6): 949-952 |
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| Authors: | ZHOU Hui CHEN Sheng-xi LIU Jin-kang GAO Yang XIONG Zeng ZHOU Mo-ling CHEN Hao |
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| Affiliation: | Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Cardiothoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Cardiothoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China;Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China |
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| Abstract: | Objective To observe the value of MSCT scanning after swallowing iodine solution and three-dimensional reconstruction in the diagnosis of thoracogastric fistula after esophagectomy. Methods Clinical and MSCT manifestations after swallowing iodine solution were analyzed in 9 patients with thoracogastric fistula after esophagectomy. Results Eight patients had single fistula, 1 patient had 2 fistulas. The fistula located on the bottom of the stomach in 6 patients, on the gastric body in 3 patients, sized 2-10 mm, with length of 2-6 mm. According to MSCT scanning after swallowing iodine solution and three-dimensional reconstruction, the exact site, size of fistula and the extent of pleura, pulmonary infection could be clearly observed. Conclusion MSCT scanning after swallowing iodine solution and three-dimensional reconstruction is a useful noninvasive imaging method for demonstrating thoracogastric fistula, which is highly valuable for surgical planning. |
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| Keywords: | Thoracogastric fistula Image processing, computer-assisted Tomography, X-ray computed |
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