多层螺旋CT三维胆系成像对胆道梗阻的诊断价值
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钟 华, 张宗明, 朱建平, 宿砚明, 李 刚,
多层螺旋CT;胆道梗阻;三维胆系成像,钟华,张宗明,朱建平,宿砚明,李刚,郭金星,通讯作者:,ValueofmultislicehelicalCTch
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钟华, 张宗明, 朱建平, 宿砚明, 李刚, 郭金星, 清华大学第一附属医院消化医学中心普外科 北京市 100016
通讯作者: 钟华, 100016, 北京市朝阳区酒仙桥一街坊6号, 清华大学第一附属医院消化医学中心普外科.
zhonghuabeijing@yahoo.com.cn
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收稿日期: 2006-10-10 接受日期: 2006-10-14
Value of multislice helical CT cholangiography in diagnosis of biliary obstruction
Hua Zhong, Zong-Ming Zhang, Jian-Ping Zhu, Yan-Ming Su, Gang Li, Jin-Xing Guo
Hua Zhong, Zong-Ming Zhang, Jian-Ping Zhu, Yan-Ming Su, Gang Li, Jin-Xing Guo,Department of General Surgery, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China
Correspondence to: Hua Zhong,Department of General Surgery, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China. zhonghuabeijing@yahoo.com.cn
Received:2006-10-10 Accepted:2006-10-14
Abstract
AIM: To evaluate the value of multislice helical CT cholangiography (MSCTC) in the diagnosis for the obstruction of biliary duct.
METHODS: A total of 36 patients with obstructive jaundice received routine and enhanced CT scanning on midsection, and then three-dimensional image reconstruction cholangiography was performed. MSCTC findings were comparatively analyzed with the operational and pathological results.
RESULTS: In 18 patients with extrahepatic biliary stone, the accuracy rate of diagnosis by MSCTC was 100%. According to the operational and pathological results, 18 cases were found with biliary duct or pancreatic head carcinoma (12 bile duct cancers, 1 gallbladder carcinoma, 3 pancreatic head carcinomas and 2 congenital choledochal cysts), of which 17 cases were correctly diagnosed by MSCTC, and the accuracy rate was above 94.4%.
CONCLUSION: MSCTC is effective in the diagnosis of biliary obstruction, and it can be used to guide clinical therapy ......
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