螺旋CT胆系成像诊断胆道疾病  

Spiral CT cholangiography in diagnosing biliary obstruction and gallbladder lesions

作　　者：张建青[1] 张启瑜[1] 殷微微[1] 王建萍 余震[1] 

机构地区：[1]温州医学院附属第一医院,浙江温州325000

出　　处：《中国临床医学影像杂志》2000年第3期185-187,共3页Journal of China Clinic Medical Imaging

摘　　要：目的 :探讨螺旋CT胆道造影(SCTC)诊断胆道疾病的价值。方法 :胆道梗阻及胆囊病变28例。用30 %胆影葡胺40～60ml,加入5 %葡萄糖注射液150ml中 ,缓慢滴注延迟25分钟 ,行螺旋CT扫描并作三维成像。结果 :胆管显影率85 7 % ,24例显影患者显示阻塞部位及/或病变形态。结论 :SCTC能显示胆管狭窄部位、程度及原因 ,简单、可靠 ,有助于外科手术。并能观察肝分泌功能 ,估价胆汁流畅程度 ,是显示胆系阻塞的有效方法。Objective:To evaluate spiral CT cholangiography in diagnosing biliary obstrucition and gallbladder lesions.Methods:28 patients with biliary obstruction or gallbladder lesions were slowly injected with 30% meglumine iodipamide 40～60ml,and waited for 25 minutes before starting helical CT scan.The images were postprocessed with Voxel transmisson in all patients.Result:The rate of bile ducts enhancement was 85.7%.The level of biliary obstruction and gallbladder lesions were visualized in 24 cases.Conclusion:SCTC could demonstrate the site,extent and cause of biliary obstruction and gallbladder lesions.It is a simple and reliable method,and it is capable of observing the function of hepatic secretion and evaluating the dynamics of bile flow.SCTC is an effective method for evaluation of patients with biliary obstruction or gallbladder lesions,and helpful to surgeon.

关 键 词：胆道疾病 螺旋CT 胆管造影术 诊断 

分 类 号：R575.704[医药卫生—消化系统]