CAJ | 학술논문

目的：分析胆囊癌的CT影象表现，旨在提高胆囊癌的诊断水平。方法对22例经手术以及病理证实胆管癌患者的CT影像学和临床资料进行回顾性分析。结果胆囊癌患者CT检查均有明显改变，主要有胆囊壁增厚型、腔内结节型、肿块型、合并肝脏和其他脏器受侵、以及淋巴结转移、胆管扩张、胆囊结石等间接征象。结论 CT诊断技术在胆囊癌诊断方面具有较高的临床价值，值得临床推广使用。但其存在一定的局限性；细心分析胆囊及其周围的结构、器官的改变，有助提高胆囊癌的 CT 诊断水平。
목적：분석담낭암적CT영상표현，지재제고담낭암적진단수평。방법대22례경수술이급병리증실담관암환자적CT영상학화림상자료진행회고성분석。결과담낭암환자CT검사균유명현개변，주요유담낭벽증후형、강내결절형、종괴형、합병간장화기타장기수침、이급림파결전이、담관확장、담낭결석등간접정상。결론 CT진단기술재담낭암진단방면구유교고적림상개치，치득림상추엄사용。단기존재일정적국한성；세심분석담낭급기주위적결구、기관적개변，유조제고담낭암적 CT 진단수평。
Objective To investigate the CT findings of gallbladder carcinoma and to elevate its diagnostic level. Methods CT findings in 18 cases with pathologically proved gallbladder carcinoma were retrospectively analyzed. Results Gallbladder wall thickening type 、intracystic nodule type and the mass in 14 cases. Other CT findings included direct invasion of liver and other adjacent organs ,hematogenous liver matastases, meta-static lym-phadenopathy, both intra and extra-hepatic biliary dilatation and gallstone. Conclusion Examined by CT in the diagnosis and differential diagnosis of gallbladder has an important role , is a non-invasive, convenient and effective diagnosis and differential diagnosis of gallbladder way conducive to treatment plan, should be applied extensively in clinical, but it is still limited.It is helpful to study carefully the changes of the gallbladder and its sur-rounding structure and organs for the diagnosis of gallbladder carcinoma on CT.