厚壁型胆囊癌与慢性胆囊炎的CT鉴别诊断  

Differential diagnosis of cT between gallbladder carcinoma of thick wall and chronic cholecystitis

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作  者:徐招土[1] 

机构地区:[1]浙江省台州市中医院,台州318000

出  处:《江西医药》2002年第6期408-409,共2页Jiangxi Medical Journal

摘  要:目的探讨厚壁型胆囊癌与慢性胆囊炎的鉴别诊断。方法收集经病理证实的厚壁型胆囊癌15例与慢性胆囊炎15例的CT表现进行对比分析。结果15例厚壁型胆囊癌壁不规则增厚,增强的胆囊壁见连续性中断6例,胆囊腔变小和失去正常形态8例,胆囊壁显僵硬9例,胆囊境界不清10例,9例病人见有不同程度的胆总管扩张,7例见淋巴结肥大。15例慢性胆囊炎2例壁厚薄不均,胆囊挛缩变小,壁略显僵硬2例,胆囊境界不清4例,均未见肿大淋巴结。结论CT在胆囊癌与慢性胆囊炎的鉴别诊断中有重要价值。Objective To discuss differential diag-nosis between gallbladder carcinoma of thick wall and chronic cholecystitis.Methods Gallbladder carcinoma of thick wall in15cases and chronic cholecystitis in15cases proved by pathology were analysed by comparison.Results Gallbladder wall in all cases with gallbladder carcinoma was irregu-lar thickened.It's wall of in6cases were interrup-tion after enhancement.It's caverna in8cases were small and normal shape were lost,It' s wall in9cases were stiff.It' s round in10cases were not clear,Lymph node in7cases were big.15cases chronic cholecystitis:Gallbladder wall in2cases were irregular thicked,gallbladder were changed small and it's wall were stiff in2cases.It's round in4cases were not clear.All one' s Lymph node were not big.Conclusion Differential diagnosis of CT have importment value between gallbladdercarcinoma of thick wall and chronic cholecystitis.

关 键 词:厚壁型胆囊癌 慢性胆囊炎 CT 鉴别诊断 

分 类 号:R735.8[医药卫生—肿瘤] R575.[医药卫生—临床医学]

 

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