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64层螺旋CT胆囊动脉成像的临床应用
作者:蔡新琦 程英 黄铿  
单位:广东省韶关市粤北人民医院
关键词:多层螺旋CT 胆囊动脉 腹腔镜胆囊切除术 
分类号:
出版年·卷·期(页码):2013·41·第一期(11-14)
摘要:

目的:评价64层螺旋CT胆囊动脉成像的临床应用价值。方法:随机抽取87名应用64层螺旋CT进行腹部血管成像患者的资料,将其原始数据进行后处理和胆囊动脉重建,了解64层螺旋CT显示胆囊动脉的能力,观察胆囊动脉起源、分支及其与胆囊三角的解剖关系。结果:64层螺旋CT清楚显示了84例患者的胆囊动脉起源、分支及其走行,占全部病例数的96.55%。胆囊动脉正常起源76例(90.48%),起源变异8例(9.52%);单支胆囊动脉78例(92.85%),双支及其以上6例(7.14%);胆囊动脉I型74例(88.09%),II型8例(9.52%),三型2例(2.38%)。结论:64层螺旋CT胆囊动脉成像能够充分显示胆囊动脉的起源、分支及其走行,为腹腔镜胆囊切除术术前评估胆囊动脉提供了可靠的依据。

Objective: to evaluate cystic arteries using 64-slice computed tomography angiography in the preoperative laparoscopic cholecystectomy. Methods: 87 patients were undergone abdominal computed tomographic angiography, all data were post-processed, and cystic arteries were reconstructed. It was assessed that the ability of displayed clearly cystic arteries with 64-slice computed tomography angiography, the region and branches of cystic artery, and the relation of cystic artery with Calot's Triangle were observed. Results: Cystic arteries in 84 patients were clearly shown the origin, branch and track of cystic arteries, accounting for 96.55% in all cases. 76 patients had the normal origin of cystic artery, accounting for 90.48%; 8 had origin variation. 78 cases had single branch of cystic artery, and 6 had two branches or more of cystic arteries; the cystic arteries in 74 patients located in Calot's Triangle, 8 the outside of Calot's Triangle, and 2 the inside and outside in Calot's Triangle. Conclusion: 64-slice computed tomography angiography is able to display fully the origin, branch and track of cystic artery, and further providing reliable imaging evidence for assessment of cystic artery in the preoperative laparoscopic cholecystectomy.

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