摘要
目的:探讨多层螺旋CT在胆囊癌诊断中的影像特点及其鉴别诊断价值。方法:对21例经手术病理证实的胆囊癌中CT表现及部分病例误诊原因进行回顾性分析。结果:21例胆囊癌中,肿块型11例,其中3例误诊,壁厚型7例,其中2例误诊,结节型3例,其中1例误诊。21例胆囊癌中伴肝内胆管扩张8例,肝脏浸润7例,十二指肠及结肠肝曲受侵犯1例,合并胆囊结石15例,伴肝十二指肠韧带周围淋巴结转移7例。结论:综合分析各型胆囊癌多层螺旋CT表现对胆囊癌正确诊断及其误诊有重要价值。
Objective:To evaluate the value of diagnosis and differential diagnosis for primary gallbladder carcinoma with multiple spiral CT.Methods:21cases with primary gallbladder carcinoma proved by postsurgical pathology were analyzed including the features of CT and causes of misdiagnosis.Results:Among 21 cases of primary gallbladder carcinomas,11 cases(53%) were mass type (3 cases were misdiagnosed),7 cases(33%) were thick gallbladder wall type and 3 cases(14% ) intracystic nodular type.Of 21 cases of gallbladder carcinomas,8 cases(38%) showed the intrahepatic cholangiectasis,7 cases (33%) were liver infiltration,1 cases(4.7%) was in the infiltration of the duodenum and hepatic flexure of colon,15 cases (71%) were companied with cholecystolithiasis,and 7 (33%) in the metastasis of the peripheral lymph node of duodenohepatic ligament.Conclusion:It is very important to make a diagnosis and reduce the misdiagnosis with the aggregate analysis for different primary gallbladder carcinomas by multiple spiral CT scan.
出处
《现代医药卫生》
2010年第22期3366-3368,共3页
Journal of Modern Medicine & Health
关键词
胆囊癌
多层螺旋CT
误诊
Gallbladder carcinoma
Multiple spiral CT
Misdiagnosis