256层螺旋CT组合后处理技术在肋间后动脉血管成像中应用价值.docVIP

256层螺旋CT组合后处理技术在肋间后动脉血管成像中的应用价值 　　 　　[摘要] 目的 评价256层螺旋CT不同组合后处理技术在肋间后动脉血管成像中的应用价值。 方法 对100例患者行256层螺旋CT胸部双期增强扫描检查，将患者分为A组（MPR+VR）、B组（MPR+CPR)、C（MPR+MIP）组，用3种不同的组合后处理技术观察肋间后动脉。 结果 A组肋间后动脉的总显示率为87.35%，B 组为83.54%，C 组为94.19%，C组与A、B组的总显示率比较，差异有统计学意义（P＜0.05）；C组对于肋间后动脉大体解剖形态的显示率高于A、B组（P＜0.05）。 结论 应用MPR+MIP组合后处理技术能使肋间后动脉的走行等解剖结构得到良好的显示。 　　[关键词] 肋间后动脉；体层摄影术，X线计算机；组合后处理技术 　　[中图分类号] R445.3[文献标识码] B[文章编号] 1674-4721（2014）05（a）-0083-03 　　 　　The application value of combination aftertreatment technologies of 256 slice spial CT in vascular imaging of posterior intercostal artery 　　SONG Si-yuan WANG Guo-chen▲ ZHANG Hui-ying 　　CT Room,Affiliated Hospital of Hebei United University,Tangshan 063000,China 　　[Abstract] Objective To evaluate the application value of different combination aftertreatment technologies of 256 slice spial CT in vascular imaging of posterior intercostal artery. Methods 256 slice spial CT double-phase enhanced scan of the chest was performed in 100 patients using three combination aftertreatment technologies.All patients were divided into the group A (MPR+VR),the group B (MPR+CPR) and the group C(MPR+MIP),three kinds of combination aftertreatment technologies were used to observe the posterior intercostal artery. Results The general display rate of posterior intercostal artery was respectively 87.35%,83.54% and 94.19% in the group A (MPR+VR),the group B (MPR+CPR) and the group C (MPR+MIP),and there was a statistical difference between the group C and the group A,the group B (P＜0.05);the display rate of gross anatomy of posterior intercostal artery in the group C was higher than those in the group A and B (P＜0.05). Conclusion MPR+MIP aftertreatment technique can display vessels arranging and other anatomic structures well. 　　[Key words] Posterior intercostal artery;Tomography,X-ray computed;Combination aftertreatment technology 　　支气管动脉栓塞术治疗咯血已经取得满意的效果[1-2]，并且已经得到广泛的临床应用。在临床工作中，部分咯血患者的供血血管来自支气管动脉以外的血管，其中以肋间动脉供血最为常见[3]。大咯血时多血管供血已经受到临床介入医师的重视[4]。另外，胸腹主动脉瘤手