摘要
目的探讨多排螺旋CT(multi-detectorhelical CT,MDCT)对囊型肝包虫病诊断价值及对肝内管道受累情况的术前指导价值。方法 68例囊型肝包虫病患者均经外膜内外囊完整摘除术治疗及病理证实,且术前均行MDCT多期扫描,应用三维重建技术观察病灶与血管、胆管的空间关系,综合手术所见与影像特征进行对照。结果 MDCT在68例中共检出112个病灶;血管重建显示与第一/二肝门关系密切病灶25个,受累肝动脉37支,肝静脉62支,门静脉41支,下腔静脉16支,对照采用Kappa一致性检验,结果与手术所见具有较高的一致性;胆管受累共29例,与手术实际情况一致。结论 MDCT检查能诊断囊型肝包虫病,并能很好地显示肝包虫血管及胆管受累的影像学特征,为手术提供可靠的影像学依据及评估。
Objective To investigate the diagnostic value of multi-detector helical CT（MDCT） in hepatic cystic echinococcosis（HCD） and the applicability of MDCT to preoperative evaluation of biliary ducts affected by HCD.Methods Sixty-eight cases of HCD confirmed by radical surgery were collected in this study.Each of the cases underwent multi-phase scanning with MDCT,and 3D image reconstruction of hepatic vessels was performed.Results The sixty-eight cases of liver hydatid cysts had a total of 112 lesions,all of which were detected by MDCT before surgery.Twenty-five lesions were closely related to the first porta hepatis or second porta hepatis.Thirty-seven hepatic arteries,sixty-two hepatic veins,forty-one portal veins,and sixteen inferior vena cava and bile ducts（29 cases） were involved.The result was consistent with the surgical findings by Kappa consistency test.Conclusions MDCT examination can diagnose HCD and the intrahepatic vessels involved can be clearly showed by 3D image reconstruction,providing reliable imaging evaluation and basis for operation.
作者
马雅丽
陈晓霞
侯文文
韩文娟
刘昊
赵国全
王贵生
MA Yali;CHEN Xiaoxia;HOU Wenwen;HAN Wenjuan;LIU Hao;ZHAO Guoquan;WANG Guisheng.(Department of CT, General Hospital of Chinese People＇ s Armed Police Force, Beijing 100039, China)
出处
《武警医学》
CAS
2018年第2期120-123,共4页
Medical Journal of the Chinese People's Armed Police Force
基金
首都特色课题(Z151100004015148)
关键词
囊型肝包虫病
肝内管道
多排螺旋CT
三维重建
hepatic cystic echinococcosis
hepatic duct
multi-detector helical CT
three dimensional reconstruction
作者简介
马雅丽，硕士，医师。;通讯作者：王贵生，E-mail：wgs1996@sina．com
