CAJ | 학술논문

目的：探讨不同检测方法对胆囊癌的诊断价值，为胆囊癌的早期诊断提供依据。方法选取15例胆囊病变患者进行研究，所有患者均行CT和MRI检测，并于术后给予病理检测，观察CT和MRI诊断的特异性和敏感性。结果15例患者经术后病理检查，胆囊炎、胆结石4例，胆囊癌11例；CT检查显示：胆囊炎、胆结石5例，胆囊腺肌症1例，胆囊癌9例；MRI检查显示：胆囊炎、胆结石5例，胆囊癌10例。MRI敏感率达90.91%，CT敏感率达81.82%。9例胆囊癌患者术前CT、MRI均得到明显诊断，且其中4例为早期胆囊癌，病理上均没有突破浆膜层。结论 CT平扫对胆囊癌的诊断率较低，增强CT对本病的诊断率明显提高，而MRCP的多方位观察对侵犯胆总管及周围肝脏结构有较大的诊断价值，因而在今后的临床诊断应用中应相互结合，取长补短，以提高对本病的诊断率，更好地为临床服务。
목적：탐토불동검측방법대담낭암적진단개치，위담낭암적조기진단제공의거。방법선취15례담낭병변환자진행연구，소유환자균행CT화MRI검측，병우술후급여병리검측，관찰CT화MRI진단적특이성화민감성。결과15례환자경술후병리검사，담낭염、담결석4례，담낭암11례；CT검사현시：담낭염、담결석5례，담낭선기증1례，담낭암9례；MRI검사현시：담낭염、담결석5례，담낭암10례。MRI민감솔체90.91%，CT민감솔체81.82%。9례담낭암환자술전CT、MRI균득도명현진단，차기중4례위조기담낭암，병리상균몰유돌파장막층。결론 CT평소대담낭암적진단솔교저，증강CT대본병적진단솔명현제고，이MRCP적다방위관찰대침범담총관급주위간장결구유교대적진단개치，인이재금후적림상진단응용중응상호결합，취장보단，이제고대본병적진단솔，경호지위림상복무。
Objective To study the effect of CT and MRI in diagnosing for primary carcinoma of gallbladder. It could provide a better way to diagnosis the primary carcinoma of gallbladder. Methods 15 patients with gallbladder disease from January 2008 to December 2013 in our hospital were to be studied. All patients were underwent CT and MRI testing, and postoperative pathological examination were given to observe the speciifcity and sensitivity of CT and MRI diagnosis. Results Of 15 cases of patients with postoperative pathological examination, there were four cases of cholecystitis, gallstones, 11 cases of gallbladder;CT examination showed:cholecystitis, gallstones ifve cases, one case of gallbladder adenomyosis, gallbladder nine cases;MRI examination showed:cholecystitis, 5 cases had gallstones, 10 cases had gallbladder cancer. MRI sensitivity rate was 90.91%, CT-sensitive rate were 81.82%. 9 cases of gallbladder surgery patients before CT, MRI diagnosis were signiifcantly and where four cases of early gallbladder cancer, and it did not break through the serosa pathology. Conclusion CT scan of the lower rate of gallbladder cancer diagnosis, enhanced CT diagnosis of the disease was signiifcantly improved, while the multi-faceted observation MRCP for violations surrounding the common bile duct and liver structure greater diagnostic value, and thus in future clinical diagnosis applications should be combined with each other, learn from each other in order to improve the diagnostic rate of this disease, the better for clinical services.