VCT在胆囊腺肌瘤病诊断中的应用

DIAGNOSTIC VALUE OF VCT IN GALLBLADDER ADENOMYOMATOSIS

目的探讨胆囊腺肌瘤病(GBA)的VCT表现,以期提高对该病的诊断准确率。方法搜集2006年10月—2011年2月本院有完整VCT资料并经手术病理证实的60例GBA病例,60例患者均行VCT平扫及增强扫描,结合文献资料回顾性分析其CT表现。结果 60例均显示胆囊壁弥漫或局限明显增厚,黏膜面强化程度高于浆膜面,延迟期扫描胆囊壁内可见与胆囊腔相通的RAS。CT正确诊断弥漫型18例,节段型16例,基底型(局限型)26例,7例弥漫型术前误诊为慢性胆囊炎和黄色肉芽肿性胆囊炎,6例基底型误诊为胆囊癌。结论 VCT表现在诊断GBA中有特征性,可以作为该病术前诊断的有效方法。

Objective To study the imaging feature of VCT in the diagnosis of Gallbladder Adenomyomato- sis. Methods The data of Plain and contrast enhanced scanning images in 60 patients with gallbladder ade- nomyomatosis proved pathologically were analyzed. Results VCT findings included diffuse or segmental gallbladder wall thickening in involved area. Mucosal wall is marked enhancement. Rokitansky- Aschoff sinuses were clearly shown by VCT, especially at delayed scans. Among them, 26 fundal, 16segmental, and 18diffuse. Conclusion VCT findings was feature and optimal method in the diagnosis of gallbladder adenomyomatos.