肝门区胆管癌的多层螺旋CT术前评估价值  

MSCT Findings and Preoperative Evaluation of Hilar Cholangiocarcinoma

作　　者：甘发清[1] 樊建中[1] 王贵勤[1] 付建国[1] 

机构地区：[1]湖北省兴山县疾病预防控制中心,湖北兴山443700

出　　处：《中外医疗》2008年第13期110-111,共2页China & Foreign Medical Treatment

摘　　要：目的探讨肝门区胆管癌的MSCT表现及术前评估价值。方法对31例肝门区胆管癌进行前瞻性研究,分析MSCT平扫及增强表现,术前评估肿瘤的手术可切除性,并与手术病理对照。结果31例肝门区胆管癌均显示肝内胆管不同程度扩张,胆管狭窄、中断,其中可见肝门区肿块24例,MSCT以增强延迟强化为主。术前可切除性评估与手术病理对照,其差异性无统计学意义(P>0.05)。结论MSCT平扫结合三期增强对显示肝门区胆管癌的直接和间接征象有较大帮助,大大提高了术前评估的准确性。Objective To investigate the value of MSCT findings in the diagnosis and preoperative evaluation of hilar cholangiocarcinoma.Methods 31 cases of hilar cholangiocarcinoma proved surgically were perspective study, MSCT findings and the value of preoperative assessment of respectability was been analyzed ,and it was compared with surgical and pathological findings. Results All cases were found to have intrahepatic biliary duct dilation and discontinuity of hilar ducts,with soft tissue mass at portais in 24 cases,delayed enhancement was found. It is no significant difference between MSCT preoperative evaluation and operation（P〉 0.05）.Conclusions All-in-one MSCF,including precontrast MSCT,consecutive DCE,could give more useful information about differential diagnosis and preoperative evaluation in hilar cholangiocarcinoma.

关 键 词：胆管癌 肝门 体层摄影术 X线计算机 

分 类 号：R735.8[医药卫生—肿瘤]