胆囊癌与慢性胆囊炎的CT鉴别诊断价值  

CT Differential Diagnosis Value of Gallbladder Carcinoma and Chronic Cholecystitis

作　　者：杨庆芬 郭建[1] Yang Qingfen;Guo Jian(CT Room,Heze Municipal Hospital,Heze,Shandong 274000,China)

机构地区：[1]菏泽市立医院CT室,山东菏泽274000

出　　处：《影像研究与医学应用》2021年第18期14-15,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨胆囊癌与慢性胆囊炎的CT鉴别诊断价值。方法:选取2018年1月—2020年6月我院收治的38例胆囊癌与45例慢性胆囊炎患者的临床资料分析,比较两种疾病患者的CT影像学诊断结果。结果:CT诊断胆囊癌与慢性胆囊炎的误诊率低;诊断胆囊癌的特异度为95.56%,灵敏度为94.74%,准确度为95.18%,影像学常表现为胆囊壁结节样增厚或弥漫性不规则增厚、黏膜线破坏和高位梗阻扩张、边界模糊。结论:CT鉴别诊断胆囊癌与慢性胆囊炎的价值高。Objective To explore the diagnostic value of CT between gallbladder carcinoma and chronic cholecystitis.Methods The clinical data of 38 patients with gallbladder cancer and 45 patients with chronic cholecystitis admitted to our hospital from January 2018 to June 2020 were selected,and the CT imaging diagnosis results of the two diseases were compared.Results The misdiagnosis rate of CT diagnosis of gallbladder cancer and chronic cholecystitis is low;The specificity of diagnosis of gallbladder cancer is 95.56%,the sensitivity is 94.74%,and the accuracy is 95.18%.Imaging often shows nodular thickening or diffuse irregular thickening of gallbladder wall,destruction of mucosal lines,expansion of high obstruction,and blurred boundaries.Conclusion CT is of high value in the differential diagnosis of gallbladder carcinoma and chronic cholecystitis.

关 键 词：胆囊癌 慢性胆囊炎 CT影像学 鉴别诊断 

分 类 号：R575.6[医药卫生—消化系统]