口服造影CT诊断胆囊息肉样病变和阴性结石  

Diagnostic Value of CT Cholecystograph in Patients with Gallbladder Polypi or Negative Stones

作　　者：孙俊凯[1] 陈焱汉 张国明 张见增 张洪涛 刘红娟 王玉梅 

机构地区：[1]安阳钢铁公司总医院CT室,河南安阳455004

出　　处：《实用放射学杂志》2000年第5期304-306,共3页Journal of Practical Radiology

摘　　要：目的 :探讨口服碘番酸造影 CT诊断胆囊息肉样病变和阴性结石的价值。方法 :回顾性分析我院经病理证实的 18例胆囊息肉样病变和 7例阴性结石的口服胆囊造影 CT表现。结果 :胆固醇息肉 8例 ,表现为胆囊内多发或单发颗粒状充盈缺损 ,直径较小 ,0 .2～ 0 .5 cm ;炎症性息肉 4例表现为带蒂或无蒂的点状或细条状充盈缺损 ,直径 0 .5～ 1.5 cm;腺瘤样息肉 5例表现为单发结节状充盈缺损 ,直径 0 .6～ 0 .9cm;腺瘤恶变 1例表现为体积较大 ,基底部较宽的结节 ,直径 2 .0 cm;阴性结石 7例表现为单发或多发的大小不一的类圆形低密度影 ,CT值 - 12 0～ 13 HU ,直径 0 .5～ 3.0 cm。结论 :口服胆囊造影 CT是诊断胆囊息肉样病变和阴性结石的可靠方法之一 。Objective:To investigate the diagnostic value of CT-cholecystograph in patients with gallbladder polypi or negative stones.Methods:The morphologic features of CT-cholecystography in patients with gallbladder polypi(n=18)or negative stones(n=7) proved by pathology were reviewed.Results:Cholestorol polypi(n=8) manifested as solitary or multiple granular filling defects in diameter 0.2～0.5 cm.Inflammatory polpi(n=4)manifested as point or strip filling defects in dimeter 0.5～1.5 cm.Adenomatoid polypi(n=5) manifested as solitary nodular filling defects,in dimeter 0.6～0.9 cm.Malignant adenoma(n=1)manifested as nodules with wide bases in dimeter 2.0 cm.Negative stones(n=7)manifested as solitary or multiple round-like low density with CT value -120～13 HU and dumeter in 0.5～3.0 cm.Conclusion:Oral gallbladder cholecystography CT is one of the avaliable methods for diagnosis of gallbladder polypi or negative stone,Analysis of the lesion is helpful for pathologic diognosis. [

关 键 词：胆囊造影 胆囊息肉样病变 CT 胆囊阴性结石 

分 类 号：R735.804[医药卫生—肿瘤] R657.420.4[医药卫生—临床医学]