中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2015年
6期
91-93
,共3页
闵钢%白卓杰%王小进%胡宁
閔鋼%白卓傑%王小進%鬍寧
민강%백탁걸%왕소진%호저
胆囊癌%X射线计算机%体层摄影术%诊断
膽囊癌%X射線計算機%體層攝影術%診斷
담낭암%X사선계산궤%체층섭영술%진단
Gallbladder carcinoma%Tomography,X-ray computed%Diagnosis
目的:探讨多层螺旋CT对胆囊癌的诊断和鉴别诊断,以提高胆囊癌的诊断水平。方法:回顾性分析经手术病理证实的20例胆囊癌患者资料的CT表现,并与手术病理相对照,分析胆囊癌误诊原因。结果:20例病例中肿块型9例(占45%);腔内结节型4例(占20%);胆囊壁增厚型7例(占35%),合并肝脏及其他脏器受侵、肝脏及淋巴结转移、肝内外胆管扩张、胆囊结石等间接征象。结论:CT扫描不仅能正确诊断大多数胆囊癌,而且可鉴别肿瘤类型;同时能仔细分析胆囊及周围的结构和器官的改变,有助于提高胆囊癌的CT诊断水平。
目的:探討多層螺鏇CT對膽囊癌的診斷和鑒彆診斷,以提高膽囊癌的診斷水平。方法:迴顧性分析經手術病理證實的20例膽囊癌患者資料的CT錶現,併與手術病理相對照,分析膽囊癌誤診原因。結果:20例病例中腫塊型9例(佔45%);腔內結節型4例(佔20%);膽囊壁增厚型7例(佔35%),閤併肝髒及其他髒器受侵、肝髒及淋巴結轉移、肝內外膽管擴張、膽囊結石等間接徵象。結論:CT掃描不僅能正確診斷大多數膽囊癌,而且可鑒彆腫瘤類型;同時能仔細分析膽囊及週圍的結構和器官的改變,有助于提高膽囊癌的CT診斷水平。
목적:탐토다층라선CT대담낭암적진단화감별진단,이제고담낭암적진단수평。방법:회고성분석경수술병리증실적20례담낭암환자자료적CT표현,병여수술병리상대조,분석담낭암오진원인。결과:20례병례중종괴형9례(점45%);강내결절형4례(점20%);담낭벽증후형7례(점35%),합병간장급기타장기수침、간장급림파결전이、간내외담관확장、담낭결석등간접정상。결론:CT소묘불부능정학진단대다수담낭암,이차가감별종류류형;동시능자세분석담낭급주위적결구화기관적개변,유조우제고담낭암적CT진단수평。
Objective:To investigate the CT findings of gallbladder carcinoma ang toelevate its diagnostic level. Methods: CT findings of 20 patiets with surgically and pathologically proved gallbladder carcinoma were retrospectively analyzed. Results: Among 20 cases, gallbladder carcinoma of soft tissue mass type was found in 9 cases(45%), intracystic nodule type in 4(20%), and thickened wall type in 7(35%). Other CT findings included direct invasion of liver and other adjacent organs, hematatogenous liver matastases, meta-static lym-phadenopathy, both intra and extra-hepatic biliary dilataion and gallstone. Conclusion:CT seans can ontonly correctly diagnose the most patients with gallbladder carcinoma but differentiate the tumor type. It is helpful to stady carefully changes of the gallbladder and its surrounding structure and organs for the diagnosis of gallbladder carcinoma on CT.