原发性胆囊癌的螺旋CT分期及手术预后评价  

The spiral CT staging and surgery prognostic evaluation for gallbladder patients

作　　者：杨自华[1] 郭平学 

机构地区：[1]西安医学院第二附属医院肝胆外科,西安710038

出　　处：《中国肿瘤临床与康复》2013年第10期1108-1110,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨原发性胆囊癌的螺旋CT分期和手术预后评价效果。方法选择2010年2月至2013年2月间收治的经手术病理证实的45例胆囊癌患者,均进行64排螺旋CT检查,并进行相关手术与穿刺细胞学检查。结果经过观察,所有患者均表现为胆囊壁不均匀增厚,17例表现为胆囊肿块边界不清晰,21例表现为胆囊壁向腔内突出。侵犯肝脏30例,侵犯十二指肠22例,侵犯结肠5例,侵犯胆管18例。根据螺旋CT分期,Ⅰ期16例,Ⅱ期15例,Ⅲ期6例,Ⅳ8例。通过CT分期与手术结果比较发现,只有3例患者因为侵犯十二指肠只进行了细胞穿刺学检查。结论螺旋CT能清晰显示原发性胆囊癌的形态学分型与对邻近器官侵犯,为胆囊癌术前分期提供重要信息,并以此可评估其手术可切除性,对改善患者预后有重要价值。Objective To investigate the spiral CT staging and surgery prognostic evaluation effects for gallbladder patients. Methods Selected 45 cases pathologically confirmed gallbladder cancer from February 2010 to February 2013 in our hospital, all cases were given 64-slice spiral CT and were given related surgery and puncture cytology. Results After observation, all patients showed gallbladder wall uneven thickening, 34 cases showed cystic tumor boundary were not clear, 21 cases showed gallbladder wall to the cavity prominent. 31 cases violated liver, 22 cases violated duodenum, 5 cases violated colon, 18 case violated bile duct. Accorded spiral CT staging, phase Ⅰ were 16 cases, phase Ⅱwere 15cases, phase Ⅲ were 6 cases, phase IV were 4 cases. By the CT staging compared with surgical findings, we found that only 3patients had cell puncture examination because of iolated duodenum. Conclusions Spiral CT can clearly show the primary gallbladder morphological classification and adjacent organ violate, it can provide important information for gallbladder preoperative staging and use it to evaluate the surgical resectability, it has important value to improve the prognosis of patients.

关 键 词：胆囊肿瘤 体层摄影术 螺旋计算机CT 分期 预后 

分 类 号：R735.8[医药卫生—肿瘤]