胆囊癌CT和超声诊断对比分析

CT and ultrasonics diagnosis of gallbladder carcinoma

目的 :评价CT和超声对胆囊癌的诊断价值。方法 :对比分析 31例经手术、病理证实的胆囊癌CT和B超影像表现。结果 :CT和B超对胆囊癌具有相似的表现。 31例中 ,肿瘤呈软组织肿块型 15例 ,壁厚型 10例 ,腔内结节型 4例 ;2例发生于胆囊颈部者未分类。CT和B超的诊断准确率分别为 87.10 %和 77.42 %。结论 :CT和B超对不同类型的原发性胆囊癌敏感性有差异 ,而两者相结合可提高该病的确诊率。

Objective:To assess the value of CT and ultrasonics in diagnosis of gallbladder carcinoma.Methods:CT and B mode ultrasonography(B US) findings were comparatively analysed in 31 cases with gall bladder carcinoma verified by operations and pathology.Results:CT and B US had similar manifestations for gall bladder carcinoma.Of the 31 cases,the tumours were soft tissue masses in 15,the wall thickening in 10,intraluminal nodular pattern in 4;Two cases developed from the neck of gallbladder were not classified.The diagnostic accurate rates of CT and B US in gallbladder carcinoma were 87.10% and 77.42% respectively.Conclusions:The two modalities play an important role in preoperational diagnosis of primary gallbladder carcinoma,and it can raise the diagnostic rate to combine CT and B US. [