胆囊癌 CT诊断价值.docVIP

胆囊癌 CT诊断价值 　　摘要：目的 就胆囊癌患者CT诊断22例进行分析。方法 选取我院2011年3月～2015年6月所收治的22例胆囊癌患者，扫描设备采用东软公司生产的16排CT机，对其进行CT诊断。结果 本组患者基于CT诊断可分为四型：①4例为壁厚型；②7例为结节型；③8例为肿块型；④3例为阻塞型。本组患者中有5例被误诊，诊断正确率达77.27%，其中2例患者被误诊为慢性胆囊炎，另3例患者被误诊为化脓性胆囊炎。与我院利用B超来诊断胆囊癌的诊断正确率（62%）存在着较为明显的差异，具有统计学意义（P0.05）。结论 CT诊断胆囊癌具有较为明显的优势，能够取得较佳的图像质量，也能够提高诊断准确率。 　　关键词：胆囊癌；CT；诊断 　　Value of CT in Diagnosis of Gallbladder Carcinoma 　　YANG Hua-qiao 　　（The 405 Hospital of Sichuan Provincial Bureau of Geology and Mineral Resources，Chengdu 611830，Sichuan，China） 　　Abstract：Objective To analyze the CT diagnosis of gallbladder carcinoma in 22 cases.Methods Selected in our hospital in March 2011 to June 2015 were 22 cases of gallbladder carcinoma and scanning equipment with Neusoft company production of 16 slice CT.The CT diagnosis.Results The patients in this group were divided into four types：（2）4 cases were wall thickness；（1）7 cases were nodular type；（3）8 cases were mass type；（4）3 cases were blocked.In this group of patients，5 cases were misdiagnosed，the correct rate of diagnosis was 77.27%，2 cases were misdiagnosed as chronic cholecystitis，and the other 3 cases were misdiagnosed as suppurative cholecystitis.With the use of ultrasound in diagnosis of gallbladder cancer，the diagnostic accuracy（62%）there is a more obvious difference，with statistical significance（P0.05）.Conclusion CT diagnosis of gallbladder cancer with a more obvious advantages，to achieve better image quality，can also improve the diagnostic accuracy. 　　Key words：Gallbladder carcinoma；CT；Diagnosis 　　胆囊癌是一种较为严重的临床疾病，绝大多数的胆囊癌为腺癌，只有10%～30%的胆囊癌为鳞癌。胆囊颈部或者胆囊底部是肿瘤的好发区，常常伴有胆结石、胆囊炎，女性的胆囊癌发病率要明显高于男性。20%的胆囊癌呈乳头状生长突入胆囊腔，80%的胆囊癌呈浸润性生长，会对周围肝组织造成较为严重的侵犯。胆囊癌主要的临床表现为：出现上腹部包块，右上腹持续性肝大、疼痛、消瘦、黄疽。临床上诊断胆囊癌时常常会出现误诊的问题，影像学检查是胆囊癌最为主要的诊断方式。CT作为一种无创、简便、安全、经济、可靠的检查技术[1]，特别适用于准确诊断胆囊癌，本文就胆囊癌患者CT诊断22例进行分析。 　　1 资料与方法 　　1.1一般资料 选取我院2011年3月～2015年6月所收治的22例胆囊癌患者，平均年龄（58.8±12.4）岁，年龄40～76岁，男6例，女16例，右上腹持续性肝大、疼痛、消瘦、黄疽是其主要的临床症状。本组患者中8例穿刺活检证实，14例手术证实；3例为鳞癌，19例为腺癌。 　　1.2方法 扫描设备采用东软公司生产的16排CT机（型号NeuViz