肝胆管结石合并胆管癌的彩色多普勒超声诊断分析

Color doppler ultrasonic diagnosis analysis of hepatolith complicated by cholangiocarcinoma

目的探讨肝胆管结石合并胆管癌的彩色多普勒超声诊断。方法对1996～2008年我院肝胆管结石合并胆管癌53例患者的彩色多普勒超声诊断进行回顾性分析。结果本组病人均有3～30年的肝胆管结石病史，部分病人有1～3次胆道手术史，肝外胆管癌39例，肝内胆管癌14例，我院超声符诊率仅62％。结论超声检查胆石症患者时一定要提高认识和警惕，要对肝脏、胆道、门静脉及周围淋巴结进行详细的扫查，减少肝胆管结石合并胆管癌的漏诊。

Objective To investigate Color Doppler Ultrasonic Diagnosis analysis of hepatolith complicated by cholangiocarcinoma. Methods Retrospective analysis of Fifty-three patients suffering from hepatolith complicated by cholangiocarcinoma in our hospital from 1996 to 2008 year. Results All the patients have been suffering from hepatolithiasis for about 3years up to 30years, many of them have Operations on biliary tract, 39 cases suffering from extrahepatic Cholangiocarcinoma, 14 cases suffering from intrahepatic Cholangiocarcinoma, and the coincidence rate of Ultrasonography was just 62%.Conclusion To reduce the missed diagnosis of hepatolith complicated by cholangiocarcinoma, when using sonography for the patients suffering from cholelithiasis must be more vigilant and cognitive; hepar, biliary tract, janitrix and peripheral nodes must be intimate scanning.