64层CT仿真内镜在结肠隆起性病变及憩室诊断中的临床意义  

Diagnostic Value of CT Virtual Colonoscopy Combined with 3D Reconstruction for Colonic Diseases

作　　者：王学淳[1] 解祥军[1] 徐海滨[1] 孙兰敏[1] 张进风[1] 

机构地区：[1]青岛市市立医院东院放射科,山东青岛266071

出　　处：《中国医学影像学杂志》2010年第5期454-456,共3页Chinese Journal of Medical Imaging

摘　　要：目的:探讨64层CT仿真内镜(CTVC)结合三维成像在结肠隆起性病变及憩室诊断中的临床价值。材料和方法:对43例经病理证实的结肠隆起性病变及憩室患者进行CTVC检查和三维后处理成像。结果:43例中,26例结肠癌和13例结肠息肉与纤维结肠镜(FC)诊断结果基本一致;4例CTVC诊断为结肠憩室,其中2例FC未发现异常。结论:64层CTVC结合三维成像对结肠隆起性病变具有较高的临床应用价值。Purpose To determine the applied value of multislice spiral CT（MSCT）of virtual colonoscopy combined with 3D reconstruction for colonic diseases.Materials and Methods Forty-three patients with surgical and pathologically proved colonic diseases underwent the examinations of MSCT virtual colonoscopy combined with 3D reconstruction.The imaging data in all patients were analyzed retrospectively.Results Among the 43 patients,colonic carcinoma was found with virtual colonoscopy in 26,colonic polyp in 13,colonic deverticulum in 4.All polyps were revealed by virtual colonoscopy and fibrocolonoscopy.Four carcinomas in four patients and four colonic deverticulums in 2 patients were revealed by virtual colonoscopy but were invisible by fibrocolonoscopy.Conlusion Compared with fibrocolonoscopy,CTVC combined with 3D reconstruction have higher diagnostic value in colonic disease.

关 键 词：结肠疾病 体层摄影术 螺旋计算机 成像 三维 结肠镜检查 计算机体层摄影 

分 类 号：R656.9[医药卫生—外科学]