中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
21期
3238-3240
,共3页
胆管肿瘤%体层摄影术,X线计算机%血管造影术%胆管造影术
膽管腫瘤%體層攝影術,X線計算機%血管造影術%膽管造影術
담관종류%체층섭영술,X선계산궤%혈관조영술%담관조영술
Cholangiocarcinoma%Tomography,X-ray computed%Angiography%Cholangiography
目的 探讨64层螺旋CT血管造影联合阴性对比CT胆管造影评价肝门部胆管癌的可切除性情况.方法 分析46例肝门部胆管癌患者临床资料,观察64层螺旋CT血管造影联合阴性对比CT胆管造影术前对肝门部胆管癌的可切除性分析,并与术后结果作比较.结果 术前CT Bismuth-Corlette分型与术后结果差异无统计学意义(x2 =0.00、0.53、1.96、0.59、2.63,均P＞0.05)；肝门部胆管癌CT术前评估可切除26例,术中评价可切除22例,两者差异无统计学意义(x2=1.51,P＞0.05).结论 术前64层螺旋CT血管造影联合阴性对比能够对肝门部胆管癌累及血管和胆管的程度作出良好评价,可为选择临床治疗方案提供重要依据.
目的 探討64層螺鏇CT血管造影聯閤陰性對比CT膽管造影評價肝門部膽管癌的可切除性情況.方法 分析46例肝門部膽管癌患者臨床資料,觀察64層螺鏇CT血管造影聯閤陰性對比CT膽管造影術前對肝門部膽管癌的可切除性分析,併與術後結果作比較.結果 術前CT Bismuth-Corlette分型與術後結果差異無統計學意義(x2 =0.00、0.53、1.96、0.59、2.63,均P＞0.05)；肝門部膽管癌CT術前評估可切除26例,術中評價可切除22例,兩者差異無統計學意義(x2=1.51,P＞0.05).結論 術前64層螺鏇CT血管造影聯閤陰性對比能夠對肝門部膽管癌纍及血管和膽管的程度作齣良好評價,可為選擇臨床治療方案提供重要依據.
목적 탐토64층라선CT혈관조영연합음성대비CT담관조영평개간문부담관암적가절제성정황.방법 분석46례간문부담관암환자림상자료,관찰64층라선CT혈관조영연합음성대비CT담관조영술전대간문부담관암적가절제성분석,병여술후결과작비교.결과 술전CT Bismuth-Corlette분형여술후결과차이무통계학의의(x2 =0.00、0.53、1.96、0.59、2.63,균P＞0.05)；간문부담관암CT술전평고가절제26례,술중평개가절제22례,량자차이무통계학의의(x2=1.51,P＞0.05).결론 술전64층라선CT혈관조영연합음성대비능구대간문부담관암루급혈관화담관적정도작출량호평개,가위선택림상치료방안제공중요의거.
Objective To investigate the 64-slice spiral CT angiography combined with negative contrast CT cholangiography in the evaluation of resectability of hilar cholangiocarcinoma.Methods The clinical data of 46 patients with hilar cholangiocarcinoma were analyzed.The resectability was observed by the 64-slice spiral CT angiography combined with negative contrast CT cholangiography,and compared with the postoperative results.Results Preoperative CT Bismuth-Corlette classification and postoperative results showed no significant difference (x2 =0.00,0.53,1.96,0.59,2.63,all P ＞ 0.05).Preoperative CT assessed the resectability of 26 cases with hilar cholangiocarcinoma,The intraoperation evaluated resectable 22 cases,the difference was not significant (x2 =1.51,P ＞ 0.05).Conclusion 64-slice spiral CT angiography combined with negative contrast CT cholangiography can make a good evaluation of hilar cholangiocarcinoma involving the degree of blood vessels and bile ducts,provide an important basis for the selection of clinical protocols.
