多层螺旋CT显示肝圆韧带的初步研究
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李文政 E-mail:wenzheng727@163.com

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Evaluation of ligamentum teres hepatis with multi-slice spiral CT:an initial experience
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    摘要:

    目的:探讨肝圆韧带的多层螺旋CT表现及其临床意义。
    方法:对130例无肝脏疾病的患者行16层CT腹部平扫及增强扫描,采用多平面重组(MPR)、层块最大密度投影(slab-MIP)和层块容积再现(slab-VR)等后处理技术重点观测肝圆韧带。
    结果:在斜矢状位MPR,slab-MIP,slab-VR图像上肝圆韧带表现为符合其解剖走行特点的密度稍高的光滑条索灶,显示率为90.8%(118/130)。裂隙段中点处直径为(5.44±0.96)mm(3.2~7.2 mm),游离段中点处直径为(3.43±0.91)mm(1.6~6.0 mm)。
    结论:多层螺旋CT能清晰显示肝圆韧带,可为以肝圆韧带为自体修复材料的上腹部手术提供较为可靠的术前影像学判断。

    Abstract:

    ObjectiveTo recognize the features of the ligamentum teres hepatic (LTH) in multi-slice spiral CT, and to preliminarily explore its clinical value.
    MethodsA total of 130 patients without liver disease underwent abdominal scanning with a 16-slice spiral CT scanner. LTHs, as focused points, were observed by using postprocessing techniques such as multi-planar reformation (MPR), slab maximum intensity projection (slab-MIP) and slab volume rendering (slab-VR).
    ResultsThe LTH was detected by multi-slice spiral CT in 90.8%(118/130). On these oblique-sagittal MPR, slab-MIP and slab-VR images, LTH presented as slightly high density smooth cord-like structure in accordance with its anatomical morphology and position. The mean diameter of fissure portion of normal LTH was (5.44±0.96) mm (range 3.2-7.2 mm) measured at its middle region, and that of free portion of normal LTH was (3.43±0.91) mm (range 1.6-6.0 mm).
    ConclusionsMulti-slice spiral CT demonstrates the LTH clearly, and has a potential to evaluate the LTH before abdominal operation in which the LTH is to be used as an autogenous repair material.

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陈伟| 龙学颖| 李文政| 刘小军.多层螺旋CT显示肝圆韧带的初步研究[J].中国普通外科杂志,2009,18(8):840-842.
DOI:10.7659/j. issn.1005-6947.2009.08.019

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  • 在线发布日期: 2009-08-15