64层螺旋CT血管造影联合阴性对比CT胆管造影评价肝门部胆管癌的可切除性  

Evaluation on resectability of hilar cholangiocarcinoma with 64-slice CT angiography combined with negative-contrast CT cholangiography

作　　者：杜育杉[1] 郝楠馨[1] 王葳[1] 曹开明[1] 龚赟[1] 

机构地区：[1]同济大学医学院附属东方医院影像科,上海200120

出　　处：《中国医学影像技术》2010年第7期1269-1272,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨64层螺旋CT血管造影联合阴性对比CT胆管造影(nCTC)评价肝门胆管癌(HC)可切除性的价值。方法分析23例经手术病理证实的HC患者的MSCT血管造影及nCTC表现,并进行术前分型,评价手术可切除性并与手术结果比较。结果 MSCT术前分型准确率为86.96%,术前评价准确率为91.30%,术前可切除性评估与手术病理对比,差异无统计学意义(P>0.05)。结论术前64层螺旋CT血管造影联合nCTC能够对HC累及血管和胆管的程度作出良好评价,为选择临床治疗方案提供重要依据。Objective To investigate the value of 64-slice CT angiography combined with negative-contrast CT cholangiography （nCTC） in evaluating the resectability of hilar cholangiocarcinomas （HC）. Methods Twenty-three patients with HC confirmed by operation and pathology were prospectively analyzed,and CT typing was made preoperation. The resectability was demonstrated by terms of an agreement judgment and compared with the results of operation. Results The accurancy of preoperatively CT typing on HC was 86.96%,and of evaluation on tumor resectability was 91.30%. No significant difference was found between preoperative CT and surgical operation evaluation （P〉0.05）. Conclusion Preoperative 64-slice CT angiography combined with nCTC can assess the degree of vascular and biliary involvement of HC,helping to establish clinical therapy project.

关 键 词：胆管上皮癌 体层摄影术 X线计算机 血管造影术 

分 类 号：R735.8[医药卫生—肿瘤] R814.42[医药卫生—临床医学]