摘要
目的 探讨CT扫描及B超检查用于诊断胆囊癌的临床价值。方法 收集2012年1月~2014年12月来我院就诊的38例胆囊癌患者的临床资料,均经手术病理确诊。所有患者均行CT检查：使用飞利浦Brilliance 16排CT,B超检查：仪器采用PHILPS超声诊断仪。对比CT检查、B超检查及两种检查方法 联合使用的检查结果 。结果螺旋CT胆囊癌诊断阳性率为68.42%,B超为63.15%,螺旋CT联合B超检查为89.47%,螺旋CT联合B超检测胆囊癌阳性率明显高于螺旋CT及B超单独检测,3种检测方法 差异有统计学意义（P〈0.05）。结论 B超及CT两种检查方式对胆囊癌均具有重要的临床诊断价值,而CT和B超联合检查阳性率明显高于CT或B超任何一种检查方式;胆囊癌患者的多种检查方式联合使用对于胆囊癌进展情况的评估具有重要的意义。
Objective To explore the clinical value of CT scanning and B-ultrasound for the diagnosis of gallbladder cancer. Methods From January 2012 to December 2014,clinical data of 38 patients with gallbladder cancer visited our hospital for treatment were selected and definitely diagnosed by pathology after surgery.All participants were provided with CT scanning （Brilliance 16 row CT in Philips brand） and B ultrasonic examinations （PHILPS diasonograph）.The de- tection outcomes were compared in CT scanning,B-ultrasound and joint usage of these two methods. Results The diag- nostic positive rate of gallbladder cancer by spiral CT was 68.42%,by B-ultrasound was 63.15%,and by combination of spiral CT and B-ultrasound was 89.47%.The positive rate of detecting gallbladder cancer by combination of spiral CT and B-ultrasound was much higher than that by only spiral CT or B-ultrasound with statistical differences （P〈0.05）. Conclusion B- ultrasound and CT examination both have important clinical diagnostic values in gallbladder cancer.The positive rate of joint detection of CT and B-uhrasound is greatly higher than CT or B ultrasound examination in any of them.Therefore,joint usage of several examinations in patients with gallbladder cancer is of great importance in evaluation of progress of gallbladder cancer.
出处
《中国当代医药》
2015年第27期52-54,共3页
China Modern Medicine
关键词
胆囊癌
CT
B超
Gallbladder eaneer
CT
B-uhrasound
