螺旋CT胆系成像的临床应用  

The Clinical Application of Spiral CT Cholangiography

作　　者：李康印[1] 陈虎义[1] 李建生[1] 杨晓萍[1] 李静[1] 郝晓东[1] 强海霞[1] 高崎炜[1] 路珑[1] 柴福禄[1] 

机构地区：[1]兰州军区兰州总医院CT室,730050

出　　处：《实用放射学杂志》1999年第11期648-649,共2页Journal of Practical Radiology

摘　　要：目的：探讨螺旋ＣＴ胆系成像（ＳＣＴＣ）技术，并对其临床应用价值做一评估。方法：采用５０％ 胆影葡胺２０～４０ ｍ ｌ静脉缓注。３３ 例延时３０～６０ ｍ ｉｎ，１６例延时９０ ｍｉｎ 后行螺旋ＣＴ容积扫描，将图像数据传至工作站作三维、四维及ＭＰＲ成像。结果：我们用此法检查了４９ 例病人，其中２５例为胆囊结石，９例胆总管结石，胆囊术后胆总管狭窄２例，５例为胆管癌，正常者８ 例。结论：螺旋ＣＴ胆系成像是有效的无创伤性胆系成像技术，弥补了常规ＣＴ及螺旋ＣＴ平扫在胆系疾病诊断中的不足。Objective:To explore the technique and clinical application of spiral CT cholangiography(SCTC) and to assess its clinical value. Methods:The slow intravenous injection with 50% meglumine iodipamide 20～40 ml were performed in 49 cases,then the spiral volume CT scans were done 30～60 minutes and 90 minutes later in 33 cases and 16 cases respectively.The imaging data were corveyed to workstation(voxel Q)and dealt with 3D,4Dand MRP.Results:Of 49 cases,there were gallbladder stone in 25 cases,common bile duct stone in 9 cases,pastoperative common bileduct narrowing in 2 cases,bile duct cancer in 5 cases and normal in 8 cases.Conclusion:SCTC is efficacious and noninjury technique,it makes up for the inadequate of CT and SCT in diagnosing the biliary diseases.

关 键 词：胆管造影术 螺旋CT 胆结石 胆总管狭窄 

分 类 号：R657.404[医药卫生—外科学] R816.5[医药卫生—临床医学]