摘要
目的探讨高分辨率螺旋CT（HRSCT）增强扫描在肝内胆管癌诊断中的应用价值。方法回顾性分析2015年1~12月我院接诊的44例肝内胆管癌患者的临床资料和HRSCT影像学资料,综合分析肝内胆管癌的螺旋CT影像特征。结果病灶肿块型34例,浸润狭窄型6例,胆管内生长型4例。增强早期边缘无强化13例,边缘强化31例;延迟增强后内部不均匀强化17例,均匀强化5例,无强化10例。44例经HRSCT增强扫描诊断为肝内胆管癌的患者中诊断正确40例,其余4例确诊为原发肝细胞癌,诊断正确率为91.0%。结论 HRSCT增强扫描在肝内胆管癌的诊断中具有重要的应用价值,对患者前期的诊断和后期的手术起着非常重要的指导作用。
Objective To explore the application of high-resolution spiral computed tomography（HRSCT） enhancement scan in the diagnosis of intrahepatic cholangiocarcinoma.Methods From January to December in 2015,clinical data and imaging data of HRSCT from 44 patients with intrahepatic cholangiocarcinoma admitted and treated in our hospital were retrospectively analyzed in order to comprehensively analyze the image features of spiral CT in intrahepatic cholangiocarcinoma.Results There were 34 cases in mass focus,6 cases in infiltration-narrow type,and 4 cases in intraductal-growing type.By enhancement,non-intensification of edge at an early stage was in 13 cases,and intensification of edge in 31 ones;after delayed enhancement,internal heterogeneous intensification was 17 cases,homogeneous intensification was 5 cases,and non-intensification was 10 cases.Among 44 participants,40 ones were correctly diagnosed as intrahepatic cholangiocarcinoma by HRSCT enhancement scan,and the rest were definitely diagnosed as primary hepatocellular carcinoma,and the diagnostic accuracy was 91.0%.Conclusion HRSCT enhancement scan plays an important application value in the diagnosis of intrahepatic cholangiocarcinoma as well as a significant guidance for early diagnosis and post-surgery.
出处
《中国当代医药》
2016年第25期126-128,共3页
China Modern Medicine
关键词
高分辨率螺旋CT
诊断
肝内胆管癌
High-resolution spiral computed tomography
Diagnosis
Intrahepatic cholangiocarcinoma
