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作 者:郭春梅[1] 熊颖[1] 谢晓宇[1] Guo Chunmei;Xiong Ying;Xie Xiaoyu(Department of Radiology, Mianyang People' s Hospital, Mianyang, 621000, China)
机构地区:[1]四川省绵阳市人民医院放射科
出 处:《中国中西医结合影像学杂志》2019年第4期363-365,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine
摘 要:目的:探讨64排螺旋CT增强扫描在胆管癌诊断中的应用价值.方法:回顾性分析我院经手术、病理及穿刺活检确诊的28例胆管癌的临床及影像资料.结果:28例中,肝内胆管癌8例,均为肿块/结节型;肝外胆管癌20例(肝门部胆管癌14例,其中肿块/结节型11例,管壁浸润型3例;远端胆管癌6例,其中腔内生长型1例,肿块/结节型3例,管壁浸润型2例).结论:64排螺旋CT增强扫描在胆管癌的定位、定性及肿瘤分期中具有重要作用,对指导临床治疗及术前评估有重要意义.Objective:To expl ore the value of MSCT enhanced scanning in the diagnosis of cholangiocarcinoma. Methods: The clinical and imaging data of 28 cases confirmed by surgery pathology and biopsy were analyzed. Results: Eight cases were intrahepatic cholangiocarcinoma with shape of mass/nodule. Twenty cases were extrahepatic cholangiocarcinoma, among them, forteen cases were hilar cholangiocarcinoma, eleven cases were mass/nodule type, three cases were invasive type of duct wall. And 6 cases were distal cholangiocarcinoma, of them, one case were intraluminal growth type, three cases were mass/nodule type, two cases of invasive type of duct wall. Conclusions: Enhanced MSCT scanning plays an important role in the localization, characterization and staging of cholangiocarcinoma, and is of great significance in guiding the treatment and preoperative evaluation of patients.
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