多层螺旋CT三维重建在统计胆总管多发结石中的价值

Value of multislice spiral CT in the common bile duct stones

目的探讨多层螺旋CT三维重建在统计胆总管多发结石中的应用。方法统计和分析笔者所在医院2007年9月～2011年9月临床手术胆总管多发结石患者78例,将B超、普通断层CT及螺旋CT结果进行回顾性分析并进行统计学处理。结果胆总管上段B超、普通CT及螺旋CT检出结石分别为75枚、72枚、83枚;胆总管下段B超、普通CT及螺旋CT检出结石分别为76枚、89枚、98枚。B超与普通断层CT在胆总管上段差异无统计学意义;B超与普通断层CT在胆总管下段差异有统计学意义(P<0.05);多层螺旋CT三维重建在胆管上段及胆总管下段与B超及普通断层CT差异均有统计学意义。结论多层螺旋CT对微创胆总管取石术手术术前制定手术方案有重要的临床应用价值。

Objective To investigate three-dimensional reconstruction of spiral CT in statistical multiple stones in the common bile duct in the application.Methods Statistics and analysis the clinical operation multiple stones in the common bile duct 78 case form 2007 September-2011 September in my hospital,we analyzed retrospectively B ultrasound,CT and common faults of spiral CT findings,and deal with statistics.Results We checked out 75 pieces,72 pieces,83 pieces through B ultrasound、CT and spiral CT in common bile duct segment and 76 pieces,89 pieces,98 pieces in Bile duct.There is no statistically significant difference betweenB ultrasound and common fault of CT in bile duct segment,B ultrasound and common fault of CT in common bile duct was statistically difference（P 0.05）,Three-dimensional reconstruction of spiral CT in Bile duct and in Common bile duct segmentwith B ultrasound and CT common faults were statistical differences.Conclusion Multislice spiral CT in minimally invasive common bile duct lithotomy preoperative surgical planning has important clinical value.