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[多层螺旋CT在腹部急症中的应用]

[Multidetector computed tomography in abdominal emergencies].

作者信息

Zorger N, Schreyer A G

机构信息

Institut für Röntgendiagnostik, Universitätsklinikum Regensburg, 93042, Regensburg.

出版信息

Radiologe. 2009 Jun;49(6):523-32. doi: 10.1007/s00117-008-1809-4.

DOI:10.1007/s00117-008-1809-4
PMID:19557461
Abstract

Abdominal emergencies encompass traumatic events in the region of the abdomen as well as the clinical term acute abdomen. Multidetector CT (MDCT) represents one of the most important imaging modalities for detection and correct diagnosis in such abdominal emergencies. Based on the acquired data MDCT allows a stable imaging of the abdomen in an extremely short time even in critically ill patients. Multiplanar reconstructions can be created based on the high resolution data allowing an impressive visualization of the pathology. In this review article the most important abdominal pathologies of the abdomen diagnosed by MDCT are presented with special emphasis on the liver, bile ducts, spleen and kidneys as well as the gastro-intestinal tract. Additionally, MDCT imaging of the individual organ regions will be dealt with in detail.

摘要

腹部急症包括腹部区域的创伤性事件以及临床术语“急腹症”。多排螺旋CT(MDCT)是此类腹部急症检测和正确诊断中最重要的成像方式之一。基于采集的数据,即使对危重病患者,MDCT也能在极短时间内对腹部进行稳定成像。基于高分辨率数据可进行多平面重建,能令人印象深刻地显示病变情况。在这篇综述文章中,介绍了通过MDCT诊断的最重要的腹部病变,特别强调了肝脏、胆管、脾脏和肾脏以及胃肠道。此外,还将详细探讨各个器官区域的MDCT成像。

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本文引用的文献

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Evaluation of acute mesenteric ischemia: accuracy of biphasic mesenteric multi-detector CT angiography.急性肠系膜缺血的评估:双期肠系膜多排CT血管造影的准确性
Abdom Imaging. 2009 May-Jun;34(3):345-57. doi: 10.1007/s00261-008-9392-8.
2
Added diagnostic value of multiplanar reformation of multidetector CT data in patients with suspected appendicitis.多排螺旋CT数据多平面重组对疑似阑尾炎患者的附加诊断价值。
Radiographics. 2008 Mar-Apr;28(2):393-405; discussion 405-6. doi: 10.1148/rg.282075039.
3
[Non-trauma-associated additional findings in whole-body CT examinations in patients with multiple trauma].
[多发伤患者全身CT检查中与创伤无关的其他发现]
Rofo. 2008 Feb;180(2):120-6. doi: 10.1055/s-2007-963594. Epub 2007 Nov 16.
4
Acute gastrointestinal bleeding: emerging role of multidetector CT angiography and review of current imaging techniques.急性胃肠道出血:多排CT血管造影的新作用及当前成像技术综述
Radiographics. 2007 Jul-Aug;27(4):1055-70. doi: 10.1148/rg.274065095.
5
Focused helical CT using rectal contrast material only as the preferred technique for the diagnosis of suspected acute appendicitis: a prospective, randomized, controlled study comparing three different techniques.仅使用直肠造影剂的聚焦螺旋CT作为疑似急性阑尾炎诊断的首选技术:一项比较三种不同技术的前瞻性、随机、对照研究。
Dis Colon Rectum. 2007 Aug;50(8):1223-9. doi: 10.1007/s10350-007-0272-z.
6
The benefit of multislice CT in the emergency room management of polytraumatized patients.多层螺旋CT在多发伤患者急诊室处理中的作用
Acta Chir Belg. 2006 Sep-Oct;106(5):500-7. doi: 10.1080/00015458.2006.11679940.
7
Bowel obstruction: comparison between multidetector-row CT axial and coronal planes.肠梗阻:多排螺旋CT轴位与冠状位平面的比较
Abdom Imaging. 2007 May-Jun;32(3):310-6. doi: 10.1007/s00261-006-9065-4. Epub 2006 Aug 26.
8
Acute mesenteric ischemia: the challenge of gastroenterology.急性肠系膜缺血:胃肠病学面临的挑战
Surg Today. 2005;35(3):185-95. doi: 10.1007/s00595-004-2924-0.
9
Multislice CT of the abdomen.腹部多层螺旋CT扫描
Br J Radiol. 2004;77 Spec No 1:S64-73. doi: 10.1259/bjr/31892755.
10
The nonvisualized appendix: incidence of acute appendicitis when secondary inflammatory changes are absent.未显影的阑尾:无继发性炎症改变时急性阑尾炎的发生率。
AJR Am J Roentgenol. 2004 Oct;183(4):889-92. doi: 10.2214/ajr.183.4.1830889.