CAJ | 학술논문

目的：探讨多层螺旋 CT 辅助多平面重建技术在疝补片修补术后并发感染诊断中的应用。方法对2013年1月至2014年10月首都医科大学附属北京朝阳医院,因腹壁疝补片修补术后补片区域出现不适就诊患者82例,行多层螺旋 CT 检查,并进行薄层重建及多平面重建观察；测量补片周围渗出及软组织异常的范围,测量渗出的 CT 值。结果82例患者中,多层螺旋 CT 图像出现补片周围感染征象72例(87.8%)；72例出现补片周围感染征象患者中,31例经多层螺旋 CT 检查考虑合并补片感染；31例患者中29例经手术证实为补片感染,诊断符合率93.5%；补片感染患者腹壁疝补片周围区域积液 CT 值高于排除补片感染患者,差异有统计学意义。结论多层螺旋 CT 辅助多平面重建技术,有助于评价疝补片修补术后补片周围感染的范围以及组织结构受累的程度,有助于下一步治疗方案的选择。
목적：탐토다층라선 CT 보조다평면중건기술재산보편수보술후병발감염진단중적응용。방법대2013년1월지2014년10월수도의과대학부속북경조양의원,인복벽산보편수보술후보편구역출현불괄취진환자82례,행다층라선 CT 검사,병진행박층중건급다평면중건관찰；측량보편주위삼출급연조직이상적범위,측량삼출적 CT 치。결과82례환자중,다층라선 CT 도상출현보편주위감염정상72례(87.8%)；72례출현보편주위감염정상환자중,31례경다층라선 CT 검사고필합병보편감염；31례환자중29례경수술증실위보편감염,진단부합솔93.5%；보편감염환자복벽산보편주위구역적액 CT 치고우배제보편감염환자,차이유통계학의의。결론다층라선 CT 보조다평면중건기술,유조우평개산보편수보술후보편주위감염적범위이급조직결구수루적정도,유조우하일보치료방안적선택。
Objective To investigate multi-slice spiral CT (MSCT) with multiplanar reconstruction (MPR) technique in diagnosis of mesh infection after hernia repair. Methods During January 2013 to January 2015, 82 patients who complained about discomfort at mesh area, were admitted to Beijing Chao-yang Hospital and underwent multi-slice spiral CT scan; they were applied thin-section reconstruction and multiplanar reconstruction; we measured the range of exudation and soft tissue abnormalities around mesh and measured CT value of the exudation. Results After MSCT scan, 72 cases (87. 8% ) showed mesh peripheral infection signs; and 31 of them were diagnosed as mesh infection by MSCT; in these 31 patients, 29 cases of mesh infection were confirmed by operations; the diagnosic accordance rate was 93. 5% . Patients with mesh infection had higher effusion CT value at mesh peripheral area than the other patients who had excluded mesh infection, the difference was statistically significant. Conclusion Multi-slice spiral CT with multiplanar reconstruction technique can help to evaluate the extent of mesh infection and infected tissue after abdominal wall hernia repair; And contribute to following treatment scheme.