二维及彩色多谱勒超声对肝门胆管癌的诊断价值研究  

A study of ultrasonography and CDFI in the diagnosis value of hilar cholangiocarcinoma

作　　者：刘军[1] 付庆国[1] 岳林先[1] 蒋幼华[1] 邓立强[1] 安绍宇[1] 蔡志清[1] 

机构地区：[1]四川省人民医院,四川成都610072

出　　处：《四川医学》2004年第7期751-752,共2页Sichuan Medical Journal

摘　　要：目的　探讨超声影像学诊断肝门部胆管癌的价值。方法　对 3 4例经病理和临床证实的肝门胆管癌病人 ,进行超声影像学检查资料的回顾性总结。结果　超声诊断肝门胆管癌的敏感性和准确检出率分别为 10 0 % ,85 % ,肝门胆管癌的主要表现为肝门部肿块和胆管壁增厚伴管腔狭窄、肝内胆管扩张及胆管结石 ;彩色多普勒超声能较清晰显示癌灶与肝门血管关系 ,其肝门周围受侵状况诊断率达 67% ;肝门胆管癌表现为血流稀少型。结论　超声是肝门部胆管癌术前无创性诊断的重要方法 ,并对指导临床制定手术治疗方案具有一定的重要应用价值。Objective To investigate the value of Ultrasound in the diagnosis of hilar cholangiocarcinoma.Methods The data of ultrasound examination in 34 cases of pathologically and clinically confirmed hilar cholangiocarcinoma were returned to analyse.Results The sensitivity and specificity of ultrasound were 100%,85%;Mass lesion,biliary wall thickening,dilated biliary and biliary stone were major manifestations of hilar cholangiocarcinoma in all 34 patients by ultrasound examination the relationship between hilar cholang iocarcinoma and hilar vascular was clearly showed by CDFI and the accuracy was 67% of nearby involvement of hilar cholangiocarcinoma;It was the type little blood flow in CDFI.Conclusion Ultrasonography is an important non-invasion method for preoperative determinations of the hilar cholangiocarcinoma,Meanwhile,it is important value in working out the operative regiraens for treating the tumor in clinical practice

关 键 词：胆管癌 超声检查 

分 类 号：R735.8[医药卫生—肿瘤]