13 胆管细胞癌CT征象分析及MSCT诊断价值的评估
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李慧

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The CT features and the value of MSCT in the diagnosis of cholangiocarcinoma
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    摘要:

    目的:探讨多排螺旋CT(MSCT)对胆管细胞癌诊断的价值。
    方法:回顾性分析经病理证实的胆管细胞癌82例的临床及CT资料,38例行单螺旋CT平扫及常规增强扫描;44例行多排螺旋CT平扫及双期增强扫描(其中11例加做延时扫描)。
    结果:不同生长方式病灶的形态大小、密度及强化特点各有其特征性改变,胆管扩张、肝叶萎缩等间接征象亦具有特征性。单螺旋CT与多排螺旋CT对病灶定位的准确性分别为82.4%,97.4%;对病灶侵犯范围评估的符合率分别为52.9%,81.0%,两组间具有显著性差异(P<0.05)。
    结论:多排螺旋CT诊断胆管细胞癌比单螺旋CT具有较高的准确率。

    Abstract:

    Abstract:Objective:To evaluate the value of MSCT in the diagnosis of cholangiocarcinoma.
    Methods : A retrospective study was undertaken in 82 patients with cholangiocarcinoma, in which 38 had singleslice CT(SSCT), and 44 had multislice CT(MSCT) including 11 with delayed scanning.
    Results:On CT scanning, the lesions′ characteristics were varied,depending on their growth pattern, while the indirect CT features were specific,like dilated bile duct, hepatic lobe atrophy,etc. The accuracy in location and assessment of extent of infiltration of the lesion by singleslice CT and multislice CT was 82.4%,97.4%and 52.9%,81.0% respectively.
    Conclusions:MSCT scan is superior to SSCT in diagnosis of cholangiocarcinoma.

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李慧, 曹觉, 龙学颖, 刘慧, 朱智明.13 胆管细胞癌CT征象分析及MSCT诊断价值的评估[J].中国普通外科杂志,2007,16(7):13-.
DOI:10.7659/j. issn.1005-6947.2007.07.013

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  • 在线发布日期: 2007-07-25