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CT三维重建成像在颌面部疾病的临床应用
作者:刘斌1 杨明1 牟永斌2 储成凤1 尹青山1 陈峰1 
单位:1.东南大学附属中大医院,放射科,江苏,南京,210009; 2.东南大学附属中大医院,口腔科,江苏,南京,210009
关键词:体层摄影术 X线计算机 颌面部疾病 三维重建 
分类号:R782, R814.42
出版年·卷·期(页码):2002·21·第二期(168-170)
摘要:

目的:探讨CT三维重建成像在颌面部疾病的临床应用价值.方法:应用Hispeed螺旋CT机对29例颌面部疾病患者进行螺旋扫描后行三维重建.结果:18例手术所见与三维图像所示完全一致.CT三维重建图像清楚显示骨折块的三维移位情况及明确肿瘤的大小及骨质侵犯的范围等.结论:三维重建成像可立体直观地显示颌面部病变的病理解剖关系,对诊断和临床手术方式的选择具有很大价值.

Objective  To evaluate the clinical applications of CT three  dimensional reconstruction on maxillofacial diseases.Zethods  Three  dimensional reconstruction was performed after spiral scanning with Hispeed CT scanner on 29 patients with maxillofacial diseases.Results  The findings from operation match with scanning images.And CT three  dimensional reconstruction images could clearly and definitely display diseased parts such as tumor and its limits.Conclusion  Three  dimensional reconstruction images present an accurate and stereoscopical pathologicoanatomic relationship of maxilloficial diseases,and has an important value in diagnosis and choice of operation mode.

参考文献:

[1] 郑敏文, 李和平. 螺旋CT及其临床应用, 1999(6)
[2] ALDER M E, DEAHL S T, MATLSON M. Clinical usefulness of two-dimensional reformatted and three-dimensionally rendered computerized tomographic images literature review and a survey of surgeons,opinions. 1995. doi:10.1016/0278-2391(95)90707-6
[3] Vannier M W, MASH J L. Three-dimensional imaging surgical planning,and image-guided therapy, 1996
[4] 罗建光, 杨东益, 李德泰. 颌面部骨折的CT扫描和三维重建. 临床放射学杂志1998(4). doi:10.3969/j.issn.1001-9324.1998.04.006
[5] Howard J D, ELSTER A D, MAY J S. Temporal bone three-dimensional CT pathologic alterations, 1990
[6] 马绪臣. 颞下颌关节病的基础与临床, 2000 

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