CAJ | 학술논문

目的对肝内胆管细胞癌的形态学CT分型以及临床意义进行评价分析，为今后的临床治疗工作提供可靠的理论依据。方法抽取在2013年1月~2014年6月我院收治的临床确诊肝内胆管细胞癌患者24例，对其CT扫描情况展开回顾性分析，评价形态学CT分型以及临床诊断价值。结果本组24例患者中，包括有肿块型者10例，CT表现为肝内结节状肿瘤，未出现周围胆管扩张现象；管周围浸润型者5例，CT表现为沿着胆管纵轴生长的树枝状肿瘤，合并有周围胆管扩张；肿块合并管周浸润型者7例，CT表现出肝内结节状肿瘤，并且合并有胆管扩张；管内生长型2例，CT表现为单发、多发肿瘤结节位于扩张的胆管内。结论经CT检查可以对肝内胆管细胞癌展开准确的形态学分型，为临床治疗方案的选择提供了可靠的参考依据，临床价值显著，值得关注。
목적대간내담관세포암적형태학CT분형이급림상의의진행평개분석，위금후적림상치료공작제공가고적이론의거。방법추취재2013년1월~2014년6월아원수치적림상학진간내담관세포암환자24례，대기CT소묘정황전개회고성분석，평개형태학CT분형이급림상진단개치。결과본조24례환자중，포괄유종괴형자10례，CT표현위간내결절상종류，미출현주위담관확장현상；관주위침윤형자5례，CT표현위연착담관종축생장적수지상종류，합병유주위담관확장；종괴합병관주침윤형자7례，CT표현출간내결절상종류，병차합병유담관확장；관내생장형2례，CT표현위단발、다발종류결절위우확장적담관내。결론경CT검사가이대간내담관세포암전개준학적형태학분형，위림상치료방안적선택제공료가고적삼고의거，림상개치현저，치득관주。
Objective To make an analysis of the CT morphological classification and the clinical significance for intrahepatic bile duct carcinoma,to provide reliable theoretical basis for future clinical treatment.Methods Extraction in the clinical diagnosis of intrahepatic cholangiocarcinoma patients between January 2013 June 2014 in our hospital 24 cases,for its CT scan were retrospectively analyzed,CT evaluation of morphology classification and clinical diagnostic value.Results 24 cases of patients,including mass type 10 cases,CT manifestations of intrahepatic nodular tumor,does not appear the around bile duct expansion phenomenon;The infiltrating around tube type 5 cases,CT performance for dendritic tumor growing along the bile duct longitudinal axis,with around bile duct expansion;Mass with perivascular infiltration were seven cases,CT showed nodular tumors in the liver,and combined with bile duct expansion;The tube growth form in 2 cases,CT performance for single and multiple tumor nodules located in bile duct expansion.Conclusion The CT inspection can make accurate CT morphological classification of intrahepatic bile duct carcinoma,to provide a reliable reference evidence for the selection of clinical treatment,significantly clinical value,worthy of at ention.