静脉滴注法CT胆系造影对阻塞性胆管病变的诊断价值  

Assessment of Drip Infusion CT Cholangiography in Patients with Obstructive Biliary Disease

作　　者：刘刚[1] 杨立[2] 

机构地区：[1]中国人民解放军总医院第一附属医院放射科 [2]中国人民解放军总医院放射诊断科

出　　处：《前沿科学》2013年第1期23-28,共6页Frontier Science

摘　　要：【目的】研究静脉滴注法CT胆系造影对胆道梗阻性病变的临床应用价值。【方法】对18例怀疑胆道梗阻的患者进行静脉滴注法CT胆系造影。螺旋CT扫描从膈顶至胰腺钩突区,以MIP、VR、MPR和CPR合成三维胆管树影像。【结果】18例静脉滴注法CT胆系造影均显示了胆管梗阻的部位、原因、程度及范围,胆管解剖和异常在MPR、CPR和MIP图像比轴位图像显示清楚。【结论】静脉滴注法CT胆系造影,对梗阻的判断准确可靠,可提供高质量的围手术期胆系三维影像。[Objective]To study the clinical value of drip infusion CT cholangiography （DI-CTC） in obstructive biliary diseases. [Methods] 18 cases with obstrtlctive biliary diseases were involved in the study. All the patients underwent upper abdominal spiral CT scanning and three dimcnsional biliary imaging with MIP, VP, MPR and CPR were reconstructed. [Results]DI-CTC were performed successfully in all cases and 3D images indicated positions, causes, and extents of obstructive discases. MIP, MPP. and CPP.. images were more informative than axial images for biliary anatomy and abnormalities. [Conclusion] DI-CTC is an important way to examine the patients with obstructive biliary diseases.

关 键 词：静脉滴注法CT胆系造影 胆道梗阻性病变 

分 类 号：R657.4[医药卫生—外科学]