CAJ | 학술논문

目的：探讨原发性胆囊癌及其转移途径的CT、MRI表现，评价CT结合MRI诊断胆囊癌转移途径的优势及价值。方法：回顾性分析经手术病理证实的36例胆囊癌并伴有转移的患者，将其CT、MRI表现总结分析，研究两者相结合对胆囊癌转移途径的诊断价值。结果：胆囊癌转移途径主要分为直接侵犯、淋巴转移、血行转移、胆管内转移及腹腔内种植转移。CT、MRI的结合应用对其原发灶及转移灶的诊断有极高的准确性。结论：CT、MRI相结合能较为准确地对原发灶及转移灶进行诊断及分型，并能准确地描述和评价胆囊癌的扩散程度及浸润范围。
목적：탐토원발성담낭암급기전이도경적CT、MRI표현，평개CT결합MRI진단담낭암전이도경적우세급개치。방법：회고성분석경수술병리증실적36례담낭암병반유전이적환자，장기CT、MRI표현총결분석，연구량자상결합대담낭암전이도경적진단개치。결과：담낭암전이도경주요분위직접침범、림파전이、혈행전이、담관내전이급복강내충식전이。CT、MRI적결합응용대기원발조급전이조적진단유겁고적준학성。결론：CT、MRI상결합능교위준학지대원발조급전이조진행진단급분형，병능준학지묘술화평개담낭암적확산정도급침윤범위。
Objective:To evaluate the effects of CT and MR imaging in assessing the metastasis routes of primary Gallbladder carcinoma,especially in assessing the advantages of combining CT with MRI in diagnosis. Methods:Retrospectively studied 36 patients with metastasis of primary Gallbladder carcinoma confirmed pathologically. All patients were examinated with CT and MRI,and the imaging results were jointly evaluated, and assessed in the carcinoma metastasis routes. Results:The diagnosis of primary gallbladder carcinoma and metastasis lesions was improved by combining CT with MRI. The metastasis routes of gallbladder carcinoma were found and divided into direct invasion,lymph metastasis,hematogenous metastasis,metastasis inside bile duct and metastasis inside abdomen. Conclusion:The CT combined with MR imaging improve the diagnosis of primary gallbladder carcinoma and metastasis as well as assess the proliferation and infiltration of cancer lesions.