多层螺旋CT在膀胱病变中的应用价值  

Application value of multislice CT in bladder lesions

作　　者：钟冠新 

机构地区：[1]中山市南区医院放射科,广东中山528455

出　　处：《实用放射学杂志》2015年第12期1996-1998,共3页Journal of Practical Radiology

摘　　要：目的 探讨多层螺旋CT用于膀胱病变检查的临床价值。方法 收集本院109例膀胱病变患者，行螺旋CT容积扫描，并常规做多平面重组（MPR）与仿真内窥镜（CTVE） 成像，将检查结果与膀胱纤维内窥镜的检查结果进行比较分析。结果 所有病例均经膀胱镜检查和手术病理证实。膀胱结石53例，膀胱癌5例，膀胱癌合并结石2例，膀胱憩室11例，凝血块10例，膀胱憩室合并凝血块3例，膀胱炎13例，前列腺增生压迫膀胱10例，前列腺癌侵犯膀胱2例。结论 多层螺旋CT检查结合三维重组图像分析，能对膀胱病变的性质及位置作出准确的判断，有利于临床观察周围组织、器官是否被侵犯或发现是否出现淋巴结转移。Objective To explore the clinical value of MSCT in bladder lesions. Methods Materials of MSCT combined with multiplanar reconstruction （MPR） and CT virtual endoscope （CTVE） in 109 patients were analyzed,and the results were compared with bladder fiber endoscope examination. Results All cases were confirmed by cystoscopy or surgical pathology. Among which there were 53 cases of bladder calculi,5 cases bladder cancer, 2 cases bladder cancer combined with calculi, 11 cases bladder diverticulum, 10 eases coagulate blood clots, 3 cases bladder diverticulum combined coagulation clot, 13 cases cystitis, 10 cases comppression of hyperplasia of the prostate,2 cases prostate cancer invasion. Conclusion MSCT combined with 3D-reconstruction can make an accurate determine of the nature and position of bladder lesions,which is helpful for observation the infiltration of surrounding tissues and organs as well as the lymph nodes metastasis.

关 键 词：膀胱病变 计算机体层成像 图像处理 

分 类 号：R694[医药卫生—泌尿科学] R814.42[医药卫生—外科学]