摘要
目的探究B超以及B超联合CT、经内镜逆行胰胆管造影(ERCP)、MRI影像技术对肝胆管结石并发肝胆管癌的诊断效果。方法选取2010年3月至2014年1月本院收治的82例肝胆管结石并发肝胆管癌患者,所有患者分别于术前行B超、CT、ERCP、MRI检查,比较各检查方法的正确诊断率。结果单独采用B超检查与B超联合CT、ERCP、MRI检查的正确诊断率分别为:肿块型:30例(73.17%)、37例(90.24%)、41例(100%)、41例(100%);结节型:9例(39.13%)、10例(43.48%)、17例(73.91%)、20例(86.96%);腔内乳头型:3例(27.27%)、4例(36.36%)、6例(54.55%)、10例(90.91%);胆管壁增厚型:1例(14.29%)、2例(28.57%)、2例(28.57%)、6例(85.71%),比较差异具有显著性(P<0.05)。结论 B超、CT、ERCP、MRI等影像技术对肝胆管结石并发肝胆管癌的临床诊断均具有重要意义,临床应用时,应根据实际情况将各种技术相结合,取长补短,提高肝胆管结石并发肝胆管癌的诊断率。
Objective To explore the diagnosis effect of ultrasound and ultrasound combined CT, ERCP, MRI imaging technology on hepatolith complicated with hepatic duct carcinoma. Method 82 cases of patients with hepatolith complicated by hepatic duct carcinoma with ultrasound, CT, ERCP, MRI preoperative were selected from March 2010 to January 2014 in our hospital, with the results the correct diagnostic rate being compared. Result The correct diagnostic rate of alone using ultrasound and ultrasound with CT, ERCP, MRI respectively were tumor type：30 （73.17%）, 37 （90.24%）, 41 （100%）, 41 （100%）, nodular type：9 （39.13%）, 10 （43.48%）, 17 （73.91%） , 20 （86.96%）, lumen nipple type：3 （27.27%）, 4 （36.36%）, 6 （54.55%）, 10 （90.91%）, bile duct wall thickening type：1 （14.29%）, 2 （28.57%）, 2 （28.57%）, 6 （85.71%）, had the signiifcant differences between groups （P〈0.05）. Conclusion Ultrasound, CT, ERCP, MRI and other imaging techniques for clinical diagnosis of hepatolith complicated with hepatic duct carcinoma is signiifcant. The correct diagnosis rate of hepatolith complicated with hepatic duct carcinoma should be improved according to the actual situation and combining various techniques complement for clinical application.
出处
《中国医学前沿杂志（电子版）》
2014年第9期36-38,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
湖北省卫生厅科研一般项目(JX6B51)
关键词
肝胆管结石并发肝胆管癌
影像学技术
联合检查
诊断
Hepatic cholangiocarcinoma associated with hepatolithiasis
Imaging technology
Joint inspection
Diagnosis
