摘要
目的报道15例少见的胆管囊肿合并胆道肿瘤的病例,旨在提高对本病的认识。方法回顾性分析手术、穿刺病理证实的15例胆管囊肿合并胆管胆囊癌病例的临床和CT资料,对其临床表现、影像学检查进行分析,并对其病因、病理及诊断进行讨论。结果胆管囊肿Ⅰ型9例,Ⅳ型5例,Ⅴ型1例。胆总管囊肿Ⅰ型常见,合并胆管胆囊癌占60%(9/15)。15个病例中,以肿块表现为主者6例,以胆管胆囊壁增厚为主者9例。CT增强扫描出现延迟相强化者13例,占86.67(13/15)。CT诊断胆管囊肿合并胆道肿瘤的准确性86.67%(13/15)。结论CT是诊断胆管囊肿合并胆道肿瘤的一种有价值的、无损伤的手段。
Purpose To analyze the CT findings of fifteen cases choledochal cyst complicated with carcinoma of bile duct, and to improve the understanding of this diseases. Methods The cinical data and CT findings in 15 cases （3 males and 12 femals, mean age 42 years） of choledochal cyst complicated with carcinoma of biliary duct or/and gallbladder were retrospective analyzed. The end diagnosis was resolved by the surgical or biopsy pathology. Results of 15 patients, type Ⅰ of choledochal cyst was in 9 cases （9/15, 60%）, type Ⅳ in 5 cases, and type Ⅴ in 1 case. The main CT sign showed a polypoid mass in 6 cases, or irregular thickened of biliary duct or/and gallbladder wall （〉5mm） in 9 cases. 13 （13/15, 86.67%） cases appearenced delayed-phase enhancement pattern. Conclusion CT is a valuble, non-invasive, and very useful techniques for the diagnosis of choledochal cyst associated with biliary duct and/or gallbladder malignancy.
出处
《上海医学影像》
2006年第2期99-101,共3页
Shanghai Medical Imaging
