三期动态增强CT对胆囊良恶性病变的诊断价值  

The value of Triphasic Dynamic Contrast-Enhanced Computed Tomography in the Differentiation of Benign and Malignant lesions of Gallbladder

作　　者：张艳秋 王成 麦筱莉[1] Zhang Yanqiu;Wang Cheng;Mai Xiaoli(Department of Radiology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院医学影像科,江苏南京210008

出　　处：《影像研究与医学应用》2021年第20期37-38,41,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨CT三期动态增强对胆囊良恶性病变的诊断价值。方法:回顾性分析本院2010年1月—2018年1月收治的220例胆囊占位患者的腹部CT动态增强扫描资料,其中良性组117例,恶性组103例,收集资料包括年龄、性别、病灶最大径、病灶各期CT值、胆囊黏膜线情况等,对以上资料进行统计学分析。结果:恶性组平均年龄、病灶最大径显著大于良性组(P<0.05)。两组间平扫CT值、动脉期CT值、延迟期CT、ΔCT值有显著差异(P<0.05),两组胆囊内黏膜线完整性等差异有统计学意义(P<0.05)。结论:患者年龄、病灶最大径、平扫期CT值、动脉及延迟期CT值、ΔCT值以及胆囊内黏膜线情况等对胆囊良恶性病变具有一定的鉴别诊断价值。Objective To explore dynamic enhanced CT in the diagnosis of gallbladder lesions.Methods The abdominal dynamic contrast-enhanced CT scan data of 220 patients with gallbladder space occupying in our hospital from January 2010 to January 2018 were retrospectively analyzed,including 117 patients in benign group and 103 patients in malignant group.The collected data included age,sex,maximum diameter of lesions,CT values at different stages of lesions,gallbladder mucosa,etc.,and the above data were statistically analyzed.Results The mean age of malignant group,maximum diameter of lesions were significantly greater than benign group(P<0.05).Plain CT value,arterial CT value,delayed CT,ΔCT value have significant difference(P<0.05),and there were statistically differences in whether the mucosal line in the GB was complete,and etc(P<0.05).Conclusion These aspects contained patient's age,the maximum diameter of lesion,plain and arterial,delayed CT value,ΔCT value and the integrity of GB wall mucosal line,and etc have diagnostic value for benign and malignant lesions of GB.

关 键 词：计算机体层摄影 动态增强 CT值 胆囊内黏膜线 

分 类 号：R735.8[医药卫生—肿瘤]