黄色肉芽肿性胆囊炎影像表现及病理分析  

The imaging manifestation and pathological analysis of Xanthogranulomatous Cholecystitics

作　　者：费胜民[1] 于明川[1] 杨帆[1] 张滨[1] Fei Shengmin;Yu Mingchuan;Yang Fan;Zhang Bin(Department of Medical Imaging,Shougang Hospital,Peking University,Beijing 100144,China)

机构地区：[1]北京大学首钢医院医学影像科,北京100144

出　　处：《影像研究与医学应用》2020年第14期32-35,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨黄色肉芽肿性胆囊炎的CT、MRI影像特征性表现及其发生病理基础。材料及方法:回顾性分析我院手术并经病理证实的28例XGC患者的CT、MRI影像及病理资料。结果:22例胆囊增大,其中20例为弥漫增厚。胆囊内结石20例(包括胆囊颈(管)结石8例),合并胆总管结石2例。CT17例、MR20例于增厚胆囊壁内见结节样、斑点片样及斑块样黄色肉芽肿性病变。结论:增强CT及增强MR联合应用,有利于XGC与胆囊癌的鉴别,对临床治疗有指导意义。Objective To investigate CT and MR features of Xanthogranulomatous Cholecystitics(XGC).Methods The imaging features of 28 cases with XGC confirmed by histopathology Results were analyzed retrospectively.Results Gallbladder enlargement in 22 cases,20 of which were diffuse thickening.There were 20 cases of gallstone in the gallbladder(including 8 cases of gallstone in the neck of the gallbladder)and 2 cases of choledocholithiasis.Nodular,speckled and patchy yellow granulomatous lesions were found in the thickened gallbladder wall of ct17 and mr20 cases.Conclusion The combination of enhanced CT and enhanced MR is beneficial to the differentiation between XGC and gallbladder carcinoma and has guiding significance for clinical treatment.

关 键 词：黄色肉芽肿性胆囊炎 X线计算机 体层摄影术 磁共振成像 病理 

分 类 号：R445[医药卫生—影像医学与核医学]