CAJ | 학술논문

目的：探讨64排螺旋CT多期扫描及图像后处理技术在胃、小肠病变中的诊断价值。方法搜集我院216例胃、小肠病变患者，进行上腹部平扫及增强扫描，图像后处理工作站对扫描数据进行三维重建。结果216例临床疑似胃、小肠疾病中胃癌65例，胃间质瘤22例，胃溃疡12例，胃底静脉曲张47例，胃息肉10例，小肠间质瘤12例，小肠淋巴瘤18例，十二指肠憩室30例，由2名副主任医师各自独立阅片，对照病理结果，回顾性总结病变的CT表现。诊断结果与纤维内窥镜和或手术所见对照分析，只有5例胃溃疡不能定其良恶性，8例十二指肠憩室漏诊，占所有病例的6％，诊断符合率为96％。结论利用64排螺旋CT的多期扫描及多种图像重建方式可全方位多角度显示胃、小肠腔内外病灶，可以发现细微病灶，并发现周围的转移情况，为临床提供更多有价值的信息。
목적：탐토64배라선CT다기소묘급도상후처리기술재위、소장병변중적진단개치。방법수집아원216례위、소장병변환자，진행상복부평소급증강소묘，도상후처리공작참대소묘수거진행삼유중건。결과216례림상의사위、소장질병중위암65례，위간질류22례，위궤양12례，위저정맥곡장47례，위식육10례，소장간질류12례，소장림파류18례，십이지장게실30례，유2명부주임의사각자독립열편，대조병리결과，회고성총결병변적CT표현。진단결과여섬유내규경화혹수술소견대조분석，지유5례위궤양불능정기량악성，8례십이지장게실루진，점소유병례적6％，진단부합솔위96％。결론이용64배라선CT적다기소묘급다충도상중건방식가전방위다각도현시위、소장강내외병조，가이발현세미병조，병발현주위적전이정황，위림상제공경다유개치적신식。
Objective To investigate 64 row helical CT multiphase scanning and image post -processing technique in the stomach,intestinal lesions of diagnostic value.Methods 216 cases of collecting our hospital stomach,intestinal disease patients,and the abdominal plain and enhanced scanning,image post-processing worksta-tion to scan data of 3-d reconstruction.Results 216 cases of clinical suspected stomach,intestinal disease in 65 patients with gastric cancer,gastric stromal tumor 22 ca-ses,12 cases of gastric ulcer,gastric fundal varices 47 cases of gastric polyps,10 cases of small intestinal stromal tumor,12 cases of small intestinal lymphoma,eighteen cases,duodenal diverticulum 30 cases of doctor of vice director of by two independent read a slice,compared with pathology results,retrospective summary lesions CT per-formance.Diagnosis and fibre endoscope and/or surgery can see contrast analysis,only 5 cases of gastric ulcer cannot be decided its benign and malignancy,8 cases of duodenal diverticulum reduction,6%of all cases,diagnosis coincidence rate is 96%.Conclusion Using 64 row helical CT scanning period and a variety of image recon-struction mode can through all show stomach,small gut cavity inside and outside lesions,we can find small lesions,and found that the transfer of around,for clinical pro-vide more valuable information.