MSCT碘水造影结合三维重建诊断食管癌术后胸胃瘘  

MSCT scanning after swallowing iodine solution and three-dimensional reconstruction in diagnosis of thoracogastric fistula after esophagectomy

作　　者：周晖[1] 陈胜喜 刘进康[1] 高阳 熊曾[1] 周漠玲[1] 陈浩[1] 

机构地区：[1]中南大学湘雅医院放射科 [2]心胸外科,湖南长沙410008

出　　处：《中国医学影像技术》2013年第6期949-952,共4页Chinese Journal of Medical Imaging Technology

基　　金：湖南省科技厅科研项目(2012TT2031、2012SK3193);湖南省自然科学基金(13JJ6012)

摘　　要：目的探讨MSCT碘水造影及三维重建技术对食管癌术后胸胃瘘的诊断价值。方法回顾性分析9例具有完整临床资料的食管癌术后胸胃瘘患者的临床表现和吞服碘水后MSCT造影特征。结果 8例为单个瘘口,1例有2个瘘口;6例瘘口位于胃底部,3例瘘口位于胃体部;瘘口直径2～10mm,瘘道长2～6mm。MSCT碘水造影三维重建可以清晰、直观地显示胸胃瘘的瘘口与瘘道,明确瘘的确切位置、瘘口直径以及瘘的毗邻关系。结论 MSCT碘水造影结合三维重建是一种有效的确诊食管癌术后胸胃瘘的手段,可为制定治疗方案提供详细资料。Objective To observe the value of MSCT scanning after swallowing iodine solution and three-dimensional reconstruction in the diagnosis of thoracogastric fistula after esophagectomy. Methods Clinical and MSCT manifestations after swallowing iodine solution were analyzed in 9 patients with thoraeogastric fistul.a after esophagectomy. Results Eight patients had single fistula, 1 patient had 2 fistulas. The fistula located on the bottom of the stomach in 6 patients, on the gastric body in 3 patients, sized 2-10 mm, with length of 2-6 mm. According to MSCT scanning after swallowing iodine solution and three-dimensional reconstruction, the exact site, size of fistula and the extent of pleura, pulmonary infection could be clearly observed. Conclusion MSCT scanning after swallowing iodine solution and three-dimensional reconstruc- tion is a useful noninvasive imaging method for demonstrating thoraeogastric fistula, which is highly valuable for surgical planning.

关 键 词：胸胃瘘 图像处理 计算机辅助 体层摄影术 X线计算机 

分 类 号：R425[医药卫生—临床医学] R814.42