计算机图形成像技术在上尿路结石手术方案选择中的应用价值  

The application value of computer graphic imaging techniques in surgical scheme selection for upper urinary calculi

作　　者：王珊珊 郭春亮[2] 赵子瑜 张岩[2] 王宁 吴爱宁 WANG Shanshan;GUO Chunliang;ZHAO Ziyu;ZHANG Yan;WANG Ning;WU Aining(He＇nan Vocational College of Applied Technology,Kaifeng 475003,China;Department of Urology ,the 155th Central Hospital of PLA ,Kaifeng 475003,China)

机构地区：[1]河南应用技术职业学院,河南开封475003 [2]中国人民解放军第155中心医院泌尿外科,河南开封475003

出　　处：《实用放射学杂志》2018年第5期776-778,共3页Journal of Practical Radiology

摘　　要：目的 探讨计算机图形成像技术结合CT尿路造影在上尿路结石手术方案选择中的应用价值。方法 回顾分析97例复杂上尿路结石患者的临床资料，均行CT尿路造影检查，再利用容积再现（VR）、最大密度投影（MIP）、多平面重组（MPR）、曲面重组（CPR）等软件进行图像处理。结合图像信息选择合理手术方案。结果 97例患者结合图像信息选择合理手术方案，患者均Ⅰ期治愈，无并发症。结论 计算机图形成像技术结合CT尿路造影检查可以清楚地显示结石病灶及上尿路精细解剖，为病情的判断及手术方案的选择提供了详尽的影像信息。Objective To discuss the application value of computer graphic imaging techniques combined with CT urography in surgical scheme selection for upper urinary calculi.Methods 97 cases with complex upper urinary calculi underwent CT urography examination.The images were transferred by network to a separate workstation to perform volume rendering （VR）, maximum intensity projection （MIP）,multipianar reconstruction （MPR） and curved planar reconstruction {CPR）. All the post-processing images were analyzed for selecting the appropriate surgical scheme. Results The 97 cases were treated properly according to their CT urography examination images, and all patients recovered without complications.Conclusion Urinary calculi and slight changes in the anatomical structure of upper urinary tract can be clearly demonstrated by computer graphics imaging techniques combined with CT urography, which may provide more information for disease diagnosis and selection of surgical scheme.

关 键 词：计算机图形成像技术 上尿路结石 计算机体层成像 尿路造影术 

分 类 号：R692.4[医药卫生—泌尿科学] R814.42[医药卫生—外科学]