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胆囊癌的CT诊断 被引量:1

CT diagnosis of gallbladder carcinoma
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摘要 目的 :提高对胆囊癌的认识和诊断水平并总结有鉴别诊断意义的征象。方法 :收集经手术及病理证实的胆囊癌 14例 ,进行回顾性分析。结果 :(1)胆囊壁局限性或弥漫性不规则增厚 8例 ;(2 )胆囊壁突向腔内肿块 4例 ,囊腔尚存 ;(3)肿块型 2例 ,胆囊区软组织肿块 ,囊腔缩小或闭塞 ;其中合并胆囊结石 6例、胆囊癌肝转移 6例、淋巴结转移 5例。结论 :CT是诊断胆囊癌影像检查的重要手段之一 ,结合临床表现有助于提高诊断准确性。 Objective:To increase the understanding and diagnostic level of the gallbladder carcinoma;To analyse the CT findings in differential diagnosis of the gallbladder cacinoma.Methods:14 cases with the gallbladder carcinoma proved by surgery and pathology were retrospectively studied.Results:The major CT findings:(1)partial or whole thicked wall in 8 cases;(2)nodule in the gallbladder 4 cases;(3)mass in 2 cases,the gallbladder can not seen;(4)the gallbladder stone 6 cases;(5)matastases of the liver 6 cases,lymphnode metastasis 5 cases.Conclusion:CT scan is very important method in diagnosis of the gallbladder carcinoma.Combined clinical history,we can make accurate diagnosis.
作者 夏琼琳 王琪
出处 《医学影像学杂志》 2001年第5期312-314,共3页 Journal of Medical Imaging
关键词 胆囊癌 X线计算机体层摄影术 CT 诊断 Gallbladder carcinoma Tomography,X-ray computed
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  • 1宁德辰,中华放射学杂志,1991年,25卷,增刊,44页
  • 2朱凤,中国医学影像技术,1989年,5卷,26页
  • 3Hirohiko Onoyama M.D., Ph.D.,Masahiro Yamamoto M.D., Ph.D.,Anthony Tseng M.D.,Tetsuo Ajiki M.D.,Yoich Saitoh M. D., Ph.D.. Extended cholecystectomy for carcinoma of the gallbladder[J] 1995,World Journal of Surgery(5):758~763
  • 4Kazuo Chijiiwa M.D.,Kinjiro Sumiyoshi M.D.,Professor Fumio Nakayama M.D.. Impact of recent advances in hepatobiliary imaging techniques on the preoperative diagnosis of carcinoma of the gallbladder[J] 1991,World Journal of Surgery(3):322~327
  • 5Yoshifumi Ogura M.D.,Ryuji Mizumoto M.D., F.A.C.S.,Shuji Isaji M.D.,Tsukasa Kusuda M.D.,Shinsuke Matsuda M.D.,Masami Tabata M.D.. Radical operations for carcinoma of the gallbladder: Present status in Japan[J] 1991,World Journal of Surgery(3):337~343

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  • 1汪绍基.临床肝胆系病学[M].上海科技出版社,1992.600.

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