腹部影像=文章编号>1007-9424(2010)06-0622-05成人腹股沟区CT影像解剖赵爽*,黄子星*,刘荣波*,周莹*=摘要>目的探讨多层螺旋CT(multi2detectorrowspiralCT,MDCT)及多平面重建(multi2planerrecon2struction,MPR)技术对显示正常成人腹股沟区解剖结构的价值。方法回顾性收集2009年7~12月期间于我院行腹股沟区CT薄层扫描检查腹股沟区结构正常的成年受检者50例(男30例,女20例),并使用MPR获得冠状位及矢状位图像,观察轴位、冠状位及矢状位影像对腹股沟区主要解剖结构的显示。结果各平面均可显示所有受检者的双侧腹壁下动脉(100/100,100%)、双侧精索(60/60,100%)及双侧子宫圆韧带(40/40,100%)。冠状位图像上可显示所有受检者双侧的/影像学股三角0(100/100,100%)。双侧腹股沟韧带在所有受检者(100/100,100%)的冠状位图像及34例受检者(68/100,68%)的矢状位图像上显示,但轴位图像上仅3例男性受检者(6/100,6%)可显示。双侧腹股沟管及腹股沟深环可在所有受检者(100/100,100%)的冠状位及46例受检者(92/100,92%)的矢状位图像上显示。冠状位腹股沟管宽度:男性左侧(0.97?0.35)cm,右侧(0.89?0.23)cm;女性左侧(0.62?0.11)cm,右侧(0.71?0.11)cm,双侧间差异无统计学意义(男P=0.059,女P=0.067),但性别间差异有统计学意义(左侧P=0.007,右侧P=0.009)。腹股沟深环横径:男性左侧(1.32?0.31)cm,右侧(1.31?0.36)cm;女性左侧(1.07?0.35)cm,右侧(1.07?0.30)cm,双侧间差异无统计学意义(男P=0.344,女P=0.638),性别间差异有统计学意义(左侧P=0.001,右侧P=0.002)。结论MDCT可以清楚显示腹股沟区解剖结构,其中冠状位重建图像对解剖结构的显示价值最大。=关键词>腹股沟区;解剖;断层摄影术/X线计算机;多平面重建=中图分类号>R445.3=文献标识码>ACTRadiologicalAnatomyofAdultGroinRegionZHAOShuang*,HUANGZi2xing*,LIURong2bo*,ZHOUYing*.*DepartmentofRadiology,WestChinaHospital,SichuanUniversity,Chengdu610041,ChinaCorrespondingAuthor:LIURong2bo,E2mail:medicalimage@163.com=Abstract>ObjectiveToinvestigatetheapplicationofmulti2detectorrowspiralCT(MDCT)andmulti2plan2erreconstruction(MPR)inidentifytheanatomydetailofnormaladultgroinregion.MethodsWeretrospectivelycollectedtheCTimagesof50adultsubjectswithnormalgroinanatomicstructureunderwentgroinregionthin2sliceMDCTscansbetweenJulyandDecember2009,30malesand20females,obtainedthecoronalandsagittalviewsbyMPR,investigatedthevalueofdifferentplansinidentifyinganatomicdetail.ResultsBilateralinferiorepigastricar2tery(100/100,100%),spermaticcord(60/60,100%),androundligamentofuterus(40/40,100%)werewelli2dentifiedonallplansinallsubjects.Thebilateral/radiologicalfemoraltriangle0couldbedemonstratedoncoronalviewsinallsubjects(100/100,100%).Thebilateralinguinalligamentwerevisibleoncoronalviewinallsubjects(100/100,100%)andonsagittalviewsin34subjects(68/100,68%),butonaxialviewswasidentifiedin3malesubjects(6/100,6%).Thebilateralinguinalcanalanddeepinguinalringwerereliablyvisibleoncoronalviewsinallsubjects(100/100,100%),andonsagittalviewsin46subjects(92/100,92%).Oncoronalviews,thewidthsofinguinalcanalwas(0.97?0.35)cminleft,(0.89?0.23)cminrightformales,and(0.62?0.11)cminleft,(0.71?0.11)cminrightforfemales.Nosignificantdifferencewasfoundbetweentwosides(P=0.059inmales,P=0.067infemales),butthereweresignificantdifferencesbetweenmalesandfemales(P=0.007inleft,P=0.009inright).Transversediameterofdeepinguinalringwas(1.32?0.31)cminleft,(1.31?0.36)cminrightformales,and(1.07?0.35)cminleft,(1.07?0.30)cminrightforfemales.Nosignificantdifferencewasfoundbetweentwosides(P=0.344inmales,P=0.638infemales),butthereweresignificantdifferencesbetweenmalesandfemales(P=0.001inleft,P=0.002inright).ConclusionMDCTwithdifferentplansplaysanimportantrole=...
