螺旋CT和MRI对肝内周围型胆管癌诊断研究分析

Spiral CT and MRI were used to analyze the diagnosis of intrahepatic cholangiocarcinoma

目的探索螺旋CT和MRI检查对于肝内周围型胆管癌的诊断价值。方法于2011年3月-2017年8月收治的肝内周围型胆管癌患者中选出66例,全部患者均经手术病理确诊,进行螺旋CT检查和MRI检查,对比两种检查方法的诊断符合率。结果 MRI检查的诊断符合率为93.94%,CT检查的诊断符合率80.30%,具有统计学差异(P<0.05);CT检查和MRI检查联合的诊断符合率100%。结论在肝内周围型胆管癌的临床诊断中,CT检查和MRI检查具有较高的灵敏度,其中MRI的诊断准确性高,其在显示肿瘤大小、边界、胆管壁受累情况、门静脉受侵犯及癌栓情况等方面具有显著优势,临床上可先进行CT检查,对于部分高度疑似IHPCC的患者可继续行MRI检查,明确诊断,值得进一步推广。

Objective To explore the diagnostic value of spiral CT and MRI examination for intrahepatic cholangiocarcinoma. Methods From March 2011 to August 2017 were intrahepatic peripheral cholangiocarcinoma choose 66 cases of patients,all patients were confirmed by surgery pathology,spiral CT scan and MRI,compared the diagnostic accordance rate of two methods of inspection. Results The diagnostic compliance rate of MRI was 93. 94%,and the diagnostic compliance rate of CT was 80. 30%,with statistical difference（ P〈0. 05）. CT examination and MRI examination combined diagnostic accuracy of 100%. Conclusion In the clinical diagnosis of intrahepatic peripheral cholangiocarcinoma,CT scan and MRI has high sensitivity,the MRI diagnostic accuracy is high,its shows that the tumor size,boundary,bile duct wall involvement has significant advantages,clinical CT inspection first,for some highly suspected patients may continue to do MRI of IHPCC,diagnosis,worthy of further promotion.