胆管癌患者实施多层螺旋CT的诊断结果分析  

Patients with Cholangiocarcinoma Implementation of Multislice CT Diagnosis Analysis

作　　者：杨昱[1] 李楠[2] 陶智慧[3] 

机构地区：[1]山东省青岛市第三人民医院放射科,山东青岛266000 [2]黑龙江省医院,黑龙江哈尔滨150001 [3]黑龙江省哈尔滨242医院,黑龙江哈尔滨150066

出　　处：《航空航天医学杂志》2014年第12期1625-1626,共2页Journal of Aerospace medicine

摘　　要：目的探讨胆管癌的CT诊断价值,分析CT误诊、漏诊的常见原因。方法收集青岛第三人民医院放射科2013年1月至2014年9月收治的19例经手术病理证实的胆管癌患者的CT资料进行分析。结果周围型2例,肝门型10例,肝外胆管型7例。CT显示胆道肿块16例,梗阻部位12例呈截断型,5例呈突然狭窄型。肝内胆管17例呈中/重度扩张,扩张胆管13例呈树藤状,6例呈蟹足状,肝外胆管扩张11例,胆囊扩大7例,术前胆管癌误诊4例,误诊率为21.1%。结论 CT在胆管癌的诊断中有重要价值。Objective To explore the CT diagnostic value of bile duct carcinoma , a common cause of CT misdiagno-sis and missed diagnosis.Methods To collect the third people′s hospital of Qingdao radiology between January 2013 and September 2013 were 19 cases confirmed by surgery pathology of bile duct carcinoma in patients with CT data were ana -lyzed.Results Peripheral in 2 cases, 10 cases of hepatic door type , 7 cases of extrahepatic bile duct type .CT showed biliary tumors in 16 cases, 12 cases o truction site is truncated type , 5 cases of sudden narrow type.Intrahepatic bile ducts in 17 cases of/severe expansion , expansion of 13 cases of bile duct timbo shaped , 6 cases of keloid and extrahepat-ic bile duct expansion in 11 cases, gallbladder enlarge the 7 cases, bile duct carcinoma preoperatively misdiagnosed 4 cases, the misdiagnosis rate was 21.1%.Conclusions CT is valuable in diagnosis of cholangiocarcinoma .

关 键 词：胆管癌 多层螺旋 CT 诊断结果 

分 类 号：R814[医药卫生—影像医学与核医学]