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CT三维表面遮盖与容积重建在骨盆肿瘤切除与重建中应用
Hits: 2131   Download times: 1541   Received:March 12, 2006    
作者Author单位UnitE-Mail
杨万石 YANG Wan-shi 煤炭总医院骨科,北京100028 Department of Orthopaedics,the General Hospital of Coal,Beijing 100028,China yangwanshi@ya2hoo.com.cn 
王坤正 WANG Kun-zheng 西安交通大学第二临床医院骨科  
赵小魁 ZHAO Xiao-kui 煤炭总医院骨科,北京100028 Department of Orthopaedics,the General Hospital of Coal,Beijing 100028,China  
王奎生 WANG Kui-sheng 煤炭总医院骨科,北京100028 Department of Orthopaedics,the General Hospital of Coal,Beijing 100028,China  
王大民 WANG Da-min 煤炭总医院骨科,北京100028 Department of Orthopaedics,the General Hospital of Coal,Beijing 100028,China  
王强 WANG Qiang 煤炭总医院骨科,北京100028 Department of Orthopaedics,the General Hospital of Coal,Beijing 100028,China  
期刊信息:《中国骨伤》2006年19卷,第10期,第577-578页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:国家安全生产监督总局重点资助项目(编号:000403012)


目的:探讨螺旋CT三维表面遮盖重建(SSD)及容积重建(VRT)在骨盆肿瘤切除与重建中的临床应用。

方法:使用SiemensPlus4螺旋CT机对17例骨盆肿瘤患者(男11例,女6例,年龄15~71岁,平均38岁)术前进行扫描,在Siemens工作站进行三维SSD及VRT。

结果:术后创口延迟愈合1例,经引流Ⅱ期闭合伤口;术后16个月复发1例,行半骨盆切除及人工半骨盆重建后恢复健康,患者行走正常;肺部转移1例;其余病例在随访期内未发现局部复发。

结论:螺旋CT三维表面SSD及VRT图像清晰地显示了术前骨盆肿瘤的细节,以最易理解的形式立体直观地显示了病变及与周围结构的关系及手术应切除的范围,有助于术前正确诊断和制定手术计划,有效地减少术后局部复发。
[关键词]:体层摄影术,X线计算机  三维重建  骨盆肿瘤
 
Clinical application of three-dimensional surface shaded display(SSD)and volume rendering techniques(VRT)of spiral CT during resection and reconstruction of pelvic tumors
Abstract:

Objective:To study the clinical application of three-dimensional surface and volume reconstruction of spiral CT during resection and reconstuction of pelvic tumors.

Methods:Seventeen patients(11 males and 6 females,aged from 15 to 71 years with an average of 38 years)with pelvic tumors were scanned with Siemens Plus 4 spiral CT and reconstructed with three-dimensional surface shaded display(SSD)and volume rendering techniques(VRT)before operation.

Results:There was one case delayed heal of wound after operation,and it closed after drain.One case recurred in 16 months after operation,the patient recovered and could walk normally after the semi-pelvic ablation.One cases had pulmonary metastasis.No local recurrence other cases.

Conclusion:The spiral CT of three-dimensional SSD and VRT reconstruction provide more clear image on the details of pelvic tumors,which can stereoscopically,easily,understandably display the relationship between the lesion and surrounding structure,and the excisional range,so it can help clinical doctors for accurate diagnosis and making operation plan.
KEYWORDS:Tomography,X-ray computed  Three-dimensional reconstruction  Pelvic trmor
 
引用本文,请按以下格式著录参考文献:
中文格式:杨万石,王坤正,赵小魁,王奎生,王大民,王强.CT三维表面遮盖与容积重建在骨盆肿瘤切除与重建中应用[J].中国骨伤,2006,19(10):577~578
英文格式:YANG Wan-shi,WANG Kun-zheng,ZHAO Xiao-kui,WANG Kui-sheng,WANG Da-min,WANG Qiang.Clinical application of three-dimensional surface shaded display(SSD)and volume rendering techniques(VRT)of spiral CT during resection and reconstruction of pelvic tumors[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(10):577~578
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