X线,B超联合诊断胆系肿瘤及肿瘤样病变

Combined Cholangiography with Ultrasonography in the Diagnosis of Gallbladder and Bile Duct Carcinoma and Tumor-like Disease

本文报道X线胆道造影结合B起实时显象对25例胆系肿瘤及肿瘤样病变的诊断,并与手术结果对照。其中胆囊息肉3例,胆囊癌12例,肝外胆管癌10例。口服和静脉胆道造影正确率为40％(8/20),有5例行经皮穿刺胆道造影,诊断正确率为100％(5/5)。X线胆道造影总诊断率为52％(13/25)。B超单独诊断率为80 ％。而X线和B超联合诊断正确率为92％。我们认为X线、B超检查、临床征象三者结合可提高术前诊断正确率。

Twenty-five cases of tumor and tumor-like lesion of the biliary tract diagnosed by cholangiography combined with ultrasonography were surgically treated. There were 10 cases of extrahepatic bile duct carcinoma, 12 gallbladder carcinoma, 3 gallbladder polyps (2 inflammatory polyps, 1 cholesteral polyp). The diagnostic accuracy of cholangiography and PTC was 40% (8/20) and 100% (5/5) respectively. The overall accuracy of X-ray examination was 52% (13/25), while ultrasonography alone was 80%. The accuracy was raised to 92% when combined cholangiography with ultrasonography was practised.