CAJ | 학술논문

目的：分析超声、RMI、CT在诊断原发性胆囊癌中的应用价值。方法回顾性分析经手术病理证实的50例原发性胆囊癌患者影像学资料，所有患者均行超声检查，行CT检查40例，行MRI检查25例，观察分析各自影像学表现，同时与手术病理检查结果对照，比较三者原发性胆囊癌诊断正确率。结果与手术病理结果比较，超声、CT、MRI诊断相符率（正确率）分别为64.0%、73.3%、88.0%，MRI诊断正确率明显高于超声，差异有统计学意义（P＜0.05）。结论超声、MRI、CT在原发性胆囊癌诊断中各有优缺点，其中MRI诊断相符率最高，超声诊断相符率最低。
목적：분석초성、RMI、CT재진단원발성담낭암중적응용개치。방법회고성분석경수술병리증실적50례원발성담낭암환자영상학자료，소유환자균행초성검사，행CT검사40례，행MRI검사25례，관찰분석각자영상학표현，동시여수술병리검사결과대조，비교삼자원발성담낭암진단정학솔。결과여수술병리결과비교，초성、CT、MRI진단상부솔（정학솔）분별위64.0%、73.3%、88.0%，MRI진단정학솔명현고우초성，차이유통계학의의（P＜0.05）。결론초성、MRI、CT재원발성담낭암진단중각유우결점，기중MRI진단상부솔최고，초성진단상부솔최저。
Objective To analyze the application value of ultrasound, MRI and CT in the diagnosis of primary gallbladder carcinoma.Methods The imaging data of 50 patients with primary gallbladder carcinoma confirmed by operation and pathology were retrospectively analyzed. All patients underwent ultrasound examination. 40 cases underwent CT examination and 25 cases underwent MRI examination. The imaging findings were observed and analyzed, respectively. Meanwhile, the findings were compared with the results of operation and pathological examination. The accuracy of the three kinds of examinations in the diagnosis of primary gallbladder carcinoma was compared.Results Compared with operation and pathological results, the diagnostic accordant rates (accuracy) of ultrasound, CT and MRI were 64.0%, 73.3% and 88.0%. The diagnostic accuracy of MRI was significantly higher than that of ultrasound, and the difference was statistically significant (P<0.05).Conclusion Ultrasound, MRI and CT in the diagnosis of primary gallbladder carcinoma have their own advantages and disadvantages, and the diagnostic accordant rates of MRI was the highest while of ultrasound was the lowest.