CT三维重建像对腹膜后纤维化的诊断价值

    汪礼迪 ,朱从群

    (咸宁学院医学院医学影像学系 ,湖北 咸宁 437100)

    摘要:目的 探讨腹膜后纤维化的 CT诊断。方法 采用 CT三维重建像技术处理 ,用 CT像、手术、病

    理 3 个方面对照分析 ,观察其 CT像与病理特征。结果 腹膜后纤维化用常规 CT技术无特征性表现 ,其

    影像征象与手术、病理所见不尽一致;而 CT三维重建像技术处理 ,其影像表现易与其手术、病理所见一

    致。结论 本病用常规 CT技术诊断易误诊 ,用 CT三维重建像有利于确诊。

    关键词:腹膜后纤维化;CT ;三维重建像

    中图分类号:R814. 42 文献标识码:A 文章编号:1008 - 0635(2003) 06 - 0411 - 02

    The Value of Three2dimensional Rebulding CT for

    Diagnosis of Retroperitoneal Fibrosis

    WAN G Li2di ,ZHU Zong2qun

    ( Department of Medicine Diagnosi t ic A gelology , Xianning Col lege , Xianning Hubei 437100 , China)

    ABSTRACT:Objective To explore the value of CT for diagnosing the ret roperitoneal fibrosis.

    Methods Compare the efficacy of using the usual CT and the three2dimensional rebulding CT for diag2

    nosing the ret roperitoneal fibrosis ,and made a complex analysis of the feature of CT imaging ,surgical

    discovery and pathological observation. Results Using usual CT check , ret roperitoneal fibrosis hasn′ t

    character actin ,it s imagings of ten differ f rom surgical and pathological showing ,but they were easily in

    agreement by using CT with three2dimensional rebulding technique. Conclusion Ret roperitoneal fibrosis

    is of ten incorrectly diagnosed by using usual CT check ,but easily correctly diagnosed by CT with three2

    dimensional rebulding technique.

    KEY WORDS :Ret roperitoneal fibrosis ;CT ; Three2dimensional rebulding imaging

    腹膜后纤维化在临床上属于罕见病 ,但其

    病理尸检的发生率却不低 ,病人多死于其并发

    症 ......