超声在高位胆管癌术前评估中的价值  

The value of preoperative evaluation with sonography in hilar cholangiocarcinoma

作　　者：林晓丹[1] 陈永标[2] 罗晓莉[2] 

机构地区：[1]福州市第一医院,福建福州350009 [2]南京军区福州总医院,福建福州350025

出　　处：《基层医学论坛》2007年第5期426-427,共2页The Medical Forum

摘　　要：目的分析高位胆管癌的超声表现,探讨超声在高位胆管癌术前评估中的价值。方法对经病理、手术确诊的45例高位胆管癌超声声像图进行回顾性分析。结果超声显示肝门区肿物34例(75.6%),其中乳头型8例(23.5%),团块型17例(50%),弥散型9例(26.5%);按Bismuth分型判断胆管受累范围,34例中29例(85%)与术中分型相符。超声对门静脉、肝动脉侵袭和肝脏转移诊断符合率分别为80%、40%、50%。结论超声对高位胆管癌进行术前评估是可行的,对指导临床制定手术方案具有重要的应用价值。Objective To analyze the sonography features of hilar cholangiocarcinoma and to explore the possibility in the preoperative evaluation of hilar cholangiocarcinoma. Methods 45 patients with hilar cholangiocarcinoma were detected by sonography..All cases were confirmed by operation and pathology. The sonography features were analyzed. Result Hilar masses were found by sonography in 34 patients （75.6%）.The masses included papillary- type in 8 patients （23.5%）, round mass 17 （50%）, diffuse type 9 （26.5%）.According to Bismuth classification, the extent of bile duct involvement was determined. Among 34 cases, 29 cases （85%） were found to be correct in surgery. Involvement of portal veins, hepatic artery and metastases in liver was correctly determined by sonography in 80% ,40% and 50%. Conclusion Sonography might be possible in the preoperative evaluation of hilar cholangiocarcinoma. It was of important value in guiding the operative regimens for treating the tumor in clinical practice.

关 键 词：高位胆管癌 BISMUTH分型 超声 术前评估 

分 类 号：R735.8[医药卫生—肿瘤]