胆囊癌的CT诊断与价值探讨

CT Diagnosis of Carcinoma of Callbladder

目的 :回顾性分析 2 2例胆囊癌的CT表现 ,探讨胆囊癌的CT影像学特征 ,讨论胆囊癌的CT诊断及其价值。方法 :对 2 2例经CT手术病理证实的胆囊癌资料 ,分析其CT表现。结果 :CT表现归纳为①胆囊壁增厚 ,其中局限性增厚 11例 ,弥漫性不规则增厚 2例 ;②胆囊区及胆囊腔内肿块 ,其中腔内 6例 ,胆囊区 2例 ;③合并胆囊结石 9例 ;④直接侵犯肝脏及肝内转移 9例 ,10例合并肝内外胆囊管扩张 ;⑤肝门及胰周淋巴结转移 6例。结论 :CT具有对软组织分辨率高 ,不受肠气干扰等优点 ,能清晰显示胆囊区肿块 ,并能区分腔内肿块的范围及了解对周围脏器的侵犯。胆囊癌的CT诊断对治疗方案的制定和估计预后有其重要价值。

Objective: To investigate the value of CT in the diagnosis of carcinoma of gallbladder. Methods: CT features of 22 patients with carcinoma of gallbladder confirmed surgically and pathologically were reviewed retrospectively . Results:①the wall of the gallbladder thickening: localized in 11 cases, perfused irregular in 2 cases; ②mass in the region of gallbladder and intra-cavity; ③concurrent cholecysto-lithiasis; ④liver invasion and metastasis in 9 cases, intra-and extea-liver cholangiectasis in 10 cases; ⑤Liver hilar and peripancrease lymph node metastasis in 6 cases. Conclusion: CT could show the mass in the region of gallbladder clearly, distinguish the range of the lesion and the invasion to the adjacent organs. CT diagnosis of carcinoma of gallbladder was important to make the therapy and evaluate prognosis.