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多层螺旋CT三维胆系成像对胆道梗阻的诊断价值
钟华 ; 张宗明 ; 朱建平 ; 宿砚明 ; 李刚 ; 郭金星 ; Hua Zhong ; Zong-Ming Zhang ; Jian-Ping Zhu ; Yan- Ming Su ; Gang Li ; Jin-Xing Guo
2010-06-09 ; 2010-06-09
关键词多层螺旋CT 胆道梗阻 三维胆系成像 Multislice helical computed tomogra- phy Obstruction of biliary duct Three-dimensional image reconstruction cholangiography R816.5
其他题名Value of multislice helical CT cholangiography in diagnosis of biliary obstruction
中文摘要目的:探讨多层螺旋CT三维胆系成像(MSCTC)对胆道梗阻的诊断价值.方法:应用MSCT对36例梗阻性黄疸患者进行上腹部的常规及增强扫描,并用增强扫描数据进行三维胆系成像,对胆道梗阻原因进行定位和定性诊断,并与手术所见及术后病理结果进行对比.结果:18例肝外胆管结石患者,术前MSCTC定位、定性诊断准确率达到100%.18例胆道或胰头肿瘤患者(12例为胆管癌,胆囊癌1例,胰头癌3例,先天性胆总管囊肿2例)中,17例得到MSCTC正确诊断,术前MSCTC定位、定性诊断准确率达到94.4%.结论:MSCTC对胆道梗阻诊断有重要价值,可进一步指导临床手术治疗.; AIM: To evaluate the value of multislice helical CT cholangiography (MSCTC) in the diagnosis for the obstruction of biliary duct. METHODS: A total of 36 patients with obstruc- tive jaundice received routine and enhanced CT scanning on midsection, and then three-dimen- sional image reconstruction cholangiography was performed. MSCTC findings were compara- tively analyzed with the operational and patho- logical results. RESULTS: In 18 patients with extrahepatic biliary stone, the accuracy rate of diagnosis by MSCTC was 100%. According to the operational and pathological results, 18 cases were found with biliary duct or pancreatic head carcinoma (12 bile duct cancers, 1 gallbladder carcinoma, 3 pancreatic head carcinomas and 2 congenital choledochal cysts), of which 17 cases were cor- rectly diagnosed by MSCTC, and the accuracy rate was above 94.4%. CONCLUSION: MSCTC is effective in the diag-nosis of biliary obstruction, and it can be used to guide clinical therapy.
语种中文 ; 中文
内容类型期刊论文
源URL[http://hdl.handle.net/123456789/59214]  
专题清华大学
推荐引用方式
GB/T 7714
钟华,张宗明,朱建平,等. 多层螺旋CT三维胆系成像对胆道梗阻的诊断价值[J],2010, 2010.
APA 钟华.,张宗明.,朱建平.,宿砚明.,李刚.,...&Jin-Xing Guo.(2010).多层螺旋CT三维胆系成像对胆道梗阻的诊断价值..
MLA 钟华,et al."多层螺旋CT三维胆系成像对胆道梗阻的诊断价值".(2010).
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