MRI与多层螺旋CT成像在肝内周围型胆管细胞癌中的诊断价值  

The diagnostic value of MRI and MSCT in perihepatic cholangiocarcinoma

作　　者：朱洪明[1] Zhu Hongming(Taicang Hospital of Traditional Chinese Medicine,Taicang jiangsu 215400,China)

机构地区：[1]太仓市中医医院

出　　处：《影像研究与医学应用》2019年第17期32-33,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:MRI与多层螺旋CT成像在肝内周围型胆管细胞癌中的诊断价值。方法:收集2012年-2018年在我院治疗的IHPCC患者22例,全部经手术或穿刺活检病理证实。其中男性11例,女性11例;年龄26~90岁,平均年龄63.5岁,进行MRI检查和CT检查。结果:22例IHPCC患者均为单发病灶,一共22个病灶,MRI和CT检查均可以清楚显示病灶;其中位于肝右叶8个,肝左叶10个,肝左右叶交界处4个;本组有6个病灶呈分叶状或形态不规则状,16个病灶呈圆形或类圆形;9个病灶边缘模糊,13个病灶边缘较清晰。病灶大小约1.8cm×2.1cm^4.3cm×5.0cm。结论:CT和MRI检查,都能够反映肝脏周围型胆管胞癌的影像学特征,两者相结合在IHPCC的诊断中更具价值。Objective To evaluate the diagnostic value of MRI and MSCT in perihepatic cholangiocarcinoma.Methods22 cases of IHPCC patients treated in our hospital from 2012 to 2018 were collected,all of which were confirmed by surgery or biopsy pathology.Among them,there were 11 males and 11 females.The age ranged from 26 to 90 years,with an average age of 63.5 years.MRI examination and CT examination were performed.Results All the 22 patients with IHPCC were single lesions,with a total of 22 lesions,which could be clearly displayed by MRI and CT examination.Among them,8 are located in the right lobe of the liver,10 are in the left lobe of the liver,and 4 are at the junction of the left and right lobe of the liver.In this group,6 lesions were lobulated or irregularly shaped,and 16 lesions were circular or quasi-circular.The edges of 9 lesions were blurred,and the edges of 13 lesions were clear.The size of the lesion was about 1.8 cm×2.1 cm^4.3 cm×5.0 cm.Conclusion Both CT and MRI can reflect the imaging features of perihepatic cholangiocarcinoma,and the combination of the two can be more valuable in the diagnosis of IHPCC.

关 键 词：MRI检查 CT检查 影像方法的比较 

分 类 号：R735.8[医药卫生—肿瘤]