多排螺旋CT多平面重建和曲面重建诊断胆道梗阻病变分析.docVIP

多排螺旋CT多平面重建和曲面重建诊断胆道梗阻病变分析 　　[摘要] 目的 分析胆道梗阻病变应用多排螺旋CT多平面重建与曲面重建诊断的效果。方法 方便选择该院于2014年11月―2016年1月收治的60例胆道梗阻病变患者，以抽签方式分为两组。对照组30例，应用超声诊断；观察组30例，应用多排螺旋CT多平面重建与曲面重建诊断。比较两组诊断符合率及准确率。结果 观察组诊断指标符合率比对照组高，差异有统计学意义（P0.05）；观察组诊断假阳性率为3.33%，假阴性率3.33%，真阳性率93.33%，真阴性率0.00%，对照组诊断假阳性率13.33%、假阴性率16.67%，真阳性率70.00%，真阴性率0.00%，观察组准确率比对照组高，差异有统计学意义（P0.05）。 结论 多排螺旋CT能够清楚显示胆道结构与梗阻情况，诊断符合率和准确性较高，值得应用推广。 　　[关键词] 多排螺旋CT；多平面重建；曲面重建；胆道梗阻病变 　　[中图分类号] R [文献标识码] A [文章编号] 1674-0742（2016）07（c）-0189-02 　　[Abstract] Objective To analyze the biliary obstruction based on multiple row spiral CT multiplanar reconstruction and curved surface reconstruction in the diagnosis of the effect. Methods Convenient select 60 patients from November 2014 to January 2016 with biliary obstruction， with lottery is divided into two groups. Control group 30 cases， the application of ultrasonic diagnosis； Observation group of 30 cases， application more row spiral CT multiplanar reconstruction and curved surface reconstruction of diagnosis. Compare two groups of diagnostic coincidence rate and accuracy. Results Observation group index diagnosis coincidence rate is higher than the control group， significant difference （P 0.05）； Observer group diagnosis of false positive rate was 3.33%， false negative rate was 3.33%， the true positive rate 93.33%， true negative rate was 0.00%， the control group in the diagnosis of false positive rate and false negative rate 13.33% 16.67%， true positive rate 70.00%， true negative rate is 0.00%， observation accuracy is higher than control group， significant difference （P 0.05）. Conclusion Multiple row spiral CT can clearly show the structure and the obstruction of biliary tract， diagnostic coincidence rate and the accuracy is higher， is worth popularizing application. 　　[Key words] More row spiral CT； Multiplanar reconstruction； Surface reconstruction； The biliary obstruction 　　胆道梗阻病变是临床中常见的一种外科急腹症[1]。主要是由于患者胆管内腔疾病、病变等原因，使胆汁无法顺畅排泄，最终导致胆道机械性梗阻。多排螺旋CT是一种新型诊断技术，具有螺旋扫描速度快、精度高、范围广等优点，诊断效果明显[2]