肝门胆管癌超声特点分析.docVIP

肝门胆管癌超声特点分析 　　【摘要】 目的：探讨超声诊断对肝门胆管癌的临床诊断价值，以及其超声诊断的特色。方法：选取笔者所在医院2010年3月-2013年8月收治的51例肝门胆管癌患者为研究对象，所有患者皆经手术、CT、PCT与ERCP等检测手段证实为肝门胆管癌，对所有患者的超声诊断特点进行分析。结果：肝门胆管癌患者超声诊断其主要表现肝内胆管扩张，胆管壁增厚，伴有管腔狭窄，肝门处有肿块，经彩色多普勒超声检查，可显示肝门血管与癌灶之间的明确关系，相较于其他诊断方法以及手术病理分析显示，超声诊断对肝门胆管癌的诊断率为100%，且对肝门胆管癌肿块检出率可达95.1%，对肝、胆囊浸润检出率为47.4%，肝门部淋巴结检出率为34.8%。结论：采取灰阶与彩色多普勒超声检查对肝门胆管癌进行检测，其检出率高，且检查准确性高，有利于肝门胆管癌患者的早期诊断，是临床对肝门胆管癌进行诊断的首选检查方法，值得临床进一步推广使用。 　　【关键词】 肝门胆管癌； 超声检查； 手术病理 　　中图分类号 R730.4 文献标识码 B 文章编号 1674-6805（2014）29-0129-03 　　Ultrasonic Characteristics Analysis of Hilar Cholangiocarcinoma/ZHAO Rui.//Chinese and Foreign Medical Research，2014，12（29）：129-131 　　【Abstract】 Objective： To explore ultrasound diagnosis the clinical diagnostic value of hepatic portal cholangiocarcinoma， as well as its characteristic of ultrasonic diagnosis.Method： From March 2010 to August 2013， 51 cases of hilar cholangiocarcinoma patients were treated for the study in our hospital， all patients were confirmed by surgery， such as CT， PCT confirmed with ERCP detection means hilar cholangiocarcinoma， for all diagnostic ultrasound characteristics of patients were analyzed.Result： Ultrasound diagnosis of hepatic hilar cholangiocarcinoma patients， mainly for gallbladder wall thickening ， and stenosis associated with hepatic hilum lumps in the obstruction of the proximal intrahepatic bile duct dilatation， ultrasound examination by color doppler ultrasonography displayed a clear relationship between hilar vessels and tumor， compared to other diagnostic methods and surgical pathology analysis showed that ultrasound diagnosis of hilar cholangiocarcinoma diagnosis was 100%， and the seizure of hilar mass the rate of 95.1% for the liver， gallbladder infiltration detection rate of 47.4%， hilar lymph node detection rate of 34.8%.Conclusion： Take grayscale and color doppler ultrasonography to detect hilar cholangiocarcinoma， the detection rate， and checking the authenticity of the high， early diagnosis of patients with hilar cholangiocarcin