胆囊癌的CT单相扫描与多相扫描的比较研究.pdfVIP

? 463 ? t 擅自E鸣~ 2001 年描 24l睡1118 期 ·论著· 胆囊癌的 CT 单相扫描与多相扫描的比较研究 梁司E 辉冯晓源.l.巍陈得非理 l 擒111 固的 比校阻囊癌 CT~鼻相扫描与多栩扫描的不网惨断价值.方法 对 36 例经手术病理证实的 跑.癌病人行 CT 被查.其中 11 例单相扫描(平抑+普通增谶妇辅+延迟扫描);25 例行多相扫描(平妇+动脉 相+门脉榈+)i!;)且打描)。结11\ 椒攒CT 表现，眼酷瘸可分为3 到.第 1 观为腕，最自费内肿块哥哥;第 2 现为lI!!囊嚷 增).J攘;第 3 型为搜捕住处民琐G 胆囊唰以中I.f.明报强化多见.éI.门脉相强化明直是，得续发魁)?梢。不同类穰 胆量睡躏强化形式不问。胆量睡癌伴肝脏俊3日常见，此时，强化形式与胆量E 幽类似，与1版发性肝癌不网;膛.糟的其 他表现尚有结苟，琳巴结肿大批胆道梗阻等。结论 胆量障躏病人行 CT 多相拟锚，问以明确胆囊糊的特征表现， 有助于顾囊赐的正确诊断。 CT 对1日囊糊的定位及分期很有价债。 [提幢简] 脑袋癌; (,1; 1ft相衍描s 多相扫描 cr di吨阳赐 S or the gal1bladder carcinoma: compari胁n or 穆lngl...ph楠e 配an a胁d multi.phase s?n l.IANG Zonghui. FENG Xia，叩制11 ， WANGW，们 ? et a. l De阳门mcnl 01 Radiology , Huas阳n f{Qspital. Fudu Tf Vni栅rSlty ， 拗ang;阳i. 200040 [A恤tracll 0崎削ive To compa陀 CT diagn相is of the gallbladde.咀rcinoma wíth s?ngle- phase alld multi-phase scan , Metbods Thirty~sjx patienls with histolo筒icaUy proven carcinoma of the gallbladder w附e examined by C.ompu 时 Tomography (CT) I eleven of them wele examined by single-- ph毗 CT SCeO (plaìn. enhanced and delayed 阴阳); 25 Qf them we时 examined by multi? ph8se CT ~n (p!ain + arteriaJ + venous +- delayed sc础). CT im咱回 Were ∞m pared with 叩eration fingdings、 R帽M相 According to CT fìndings. the 阴Ilbladder carcin阴阳 W册 categorized into thr脚叩P崎: Type 1 , intraluminal m酬S Qf the gallbladder; Type 2 , thickenìng of the gaUbladder waJt; Type 3 , infil trating turnor. The tnajority of gallbladder carcinoma w出 medium or obvious enhancít咽，由pedaIl y ín venous 阻础. and l.st时 to de!ay scan. Diff.町ent t月3阳 had varióus enhancenments. Lìver involvement wa飞 the m曲t common a捕。ciMed findìngs. In this