64排螺旋CT诊断肝外胆管癌的临床效果分析  

Clinical Effect Analysis of 64-row Spiral CT in Diagnosing Extrahepatic Bile Duct Cancer

作　　者：黄卫 王秋石[2] 孙成成 HUANG Wei;WANG Qiushi;SUN Chengcheng(Department of Radiology,Tengzhou Workers'Hospital,Tengzhou,Shandong Province,277500 China;Department of Hand Surgery,Tengzhou Workers'Hospital,Tengzhou,Shandong Province,277500 China)

机构地区：[1]滕州市工人医院放射科,山东滕州277500 [2]滕州市工人医院手外科,山东滕州277500

出　　处：《世界复合医学》2023年第1期91-94,共4页World Journal of Complex Medicine

摘　　要：目的 探讨对肝外胆管癌患者采用64排螺旋CT进行诊断的临床效果。方法 回顾性选取2018年1月—2021年3月滕州市工人医院收治的88例疑似肝外胆管癌患者的临床资料,对所有患者均展开64排螺旋CT诊断以及病理诊断,比较两种检查方法的诊断效能,包括诊断特异度、敏感度、准确度。结果 对所有疑似肝外胆管癌患者完成64排螺旋CT诊断后,同病理诊断在高分化腺癌、高中分化腺癌、中分化腺癌、中低分化腺癌、低分化腺癌、腺瘤病变以及鳞癌几方面,均表现出较高符合率。对于本次研究收治的88例肝外胆管癌患者,通过病理诊断后,恶性86例,良性2例;完成64排螺旋CT诊断后,恶性患者85例,良性患者3例。64排螺旋CT患者诊断特异度、敏感度、准确度分别为50.00%(1/2)、97.67%(84/86)、96.59%(85/88)。结论 64排螺旋CT方法有效应用,可将肝外胆管癌诊断敏感度、准确度较高,对于高分化腺癌、高中分化腺癌、中分化腺癌、中低分化腺癌、低分化腺癌、腺瘤病变以及鳞癌具体情况可以充分明确,可为肝外胆管癌早期确诊提供依据,实现疾病及时治疗。Objective To explore the clinical effects after the diagnosis of extrahepatic bile duct cancer patients was completed by 64-row spiral CT.Methods 88 patients clinical data with suspected extrahepatic bile duct cancer admitted from January 2018 to March 2021 were retrospectively selected 64-row spiral CT diagnosis as well as pathological diagnosis was performed on all patients,The diagnostic efficacy of the two inspection method was compared,including diagnostic specificity,sensitivity,and accuracy.Results After 64-slice spiral CT diagnosis was completed for all patients with suspected extrahepatic cholangiocarcinoma,it showed a high coincidence rate with pathological diagnosis in well-differentiated adenocarcinoma,well-differentiated adenocarcinoma,moderately differentiated adenocarcinoma,poorly differentiated adenocarcinoma,adenomatous lesions and squamous cell carcinoma.For the 88 patients with extrahepatic cholangiocarcinoma admitted in this study,86 cases were malignant and 2 cases were benign after pathological diagnosis.After 64-slice spiral CT diagnosis,85 patients were malignant and 3 patients were benign.The diagnostic specificity,sensitivity and accuracy of 64-slice spiral CT were 50.00 %( 1/2),97.67 %(84/86) and 96.59 %( 85/88),respectively.Conclusion The effective application of 64-row spiral CT method the,sensitivity and accuracy of extrahepatic cholangiocarcinoma diagnosis,and can fully clarify the specifics of highly differentiated adenocarcinoma,high and middle differentiated adenocarcinoma,middle and low differentiated adenocarcinoma,low differentiated adenocarcinoma,adenomatous lesions and squamous carcinoma,which can provide a basis for early diagnosis of extrahepatic cholangiocarcinoma and realize timely treatment of the disease.

关 键 词：肝外胆管癌 64排螺旋CT 诊断结果 

分 类 号：R81[医药卫生—放射医学]