Abstract
目的 研究64层螺旋CT胰胆管三维成像联合腹腔血管三维成像在胆胰疾病诊治中的应用.方法 对52例胰胆管疾病患者,通过行64层螺旋CT扫描及后期胰胆管、腹腔血管三维成像进行定位、定性诊断,对比分析手术及病理检查结果.结果 46例胰胆管三维成像清晰显示病灶和梗阻远、近端狭窄及扩张的胆管、胰管;联合腹腔血管三维成像可多方位清晰显示结石和肿瘤与周围组织解剖关系.与手术及病理检查结果对比,胰胆管三维成像对胆胰疾病的定位和定性诊断符合率达到98%(45/46)和93%(43/46),联合腹腔血管三维成像定位、定性诊断符合率均达100%(38/38);手术可切除性判断准确率为93%(14/15).结论 64层螺旋CT胰胆管三维成像联合腹腔血管三维成像能获得清晰的胰胆管影像,立体显示胰胆管结构、病灶形态及其与周围组织的解剖关系,提高了胆胰疾病诊断率,为手术提供正确的指导。
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