多层螺旋CT诊断胆道梗阻性疾病68例分析

摘要

Objective To investigate clinical value of mullislice spiral CT(MSCT) in diagnosing obstructive biliary disease. Methods All 68 cases with obstructive biliary disease underwent MSCT rouline plain scan and thin-slice plain scan,and 30 of these cases were examined tri-phases conlrasl-enhanced scan in addilion. Results Sixty-eight cases with obstructive biliary disease included 41 cases with bile duet stone,15 cases with carcinoma in head of pancrea,3 cases with bile duet carcinoma,7 case with cholangitis,and 2 cases with carcinoma in the ampulla of Vater. Conclusion Multislice spiral CT has high accuracy,and is one of effective imaging ex-aminalion melhods in diagnosing obstructive biliary disease.%目的 探讨多层螺旋CT在胆道梗阻性疾病的临床应用价值.方法 68例行CT常规平扫及薄层扫描的胆道梗阻患者,其中30例进行增强CT三期扫描.结果 68例中胆管结石41例,胰头癌15例,胆管癌3例,胆管炎7例,壶腹癌2例.结论 多层螺旋CT扫描在胆道梗阻性疾病的诊断中准确性高,是胆道梗阻性疾病有效的检查方法.