胆囊癌的影像诊断与临床病理对照研究

Comparative Study of Imaging Diagnosis and Clinical Pathology of Gallbladder Carcinoma

目的分析胆囊癌的影像表现,并与手术病理对照研究,旨在提高早期胆囊癌的检出率,选择并做出正确的影像诊断。方法回顾性分析2012-2016年36例经过手术病理证实的胆囊癌患者的超声、CT、MRI影像和临床资料。结果肿块型24例,胆囊壁增厚型5例,腔内结节型7例,36例患者均行超声检查,其中17例行CT检查,12例行MRI检查,胆囊癌早期检出率仅为8.3%(3/36)。结论早期胆囊癌临床往往难以诊断,而主要依靠影像学确诊。超声及MRI对腔内病变显示明显优于CT,而合并周围脏器浸润的显示CT、MRI较清晰,若分辨血管及肿大淋巴结则MRI更为敏感。

Objective To analyze the imaging findings of gallbladder carcinoma,and compared with surgical pathology,in order to improve the detection rate of early gallbladder cancer,and make the correct choice of imaging diagnosis.Methods a retrospective analysis of 36 cases of 2012-2016 years after ultrasound,surgery and pathology of gallbladder carcinoma patients CT,MRI images and clinical data of the Results Mass type.24 cases,5 cases of gallbladder wall thickening type,nodular type in 7 cases,36 cases were examined by ultrasonography,17 cases underwent CT examination,MRI examination in 12 cases,gallbladder cancer early detection rate was only 8.3%(3/36)Conclusion Early gallbladder cancer clinical diagnosis is often difficult,but mainly rely on imaging diagnosis.Ultrasound and MRI to display cavity lesions than CT,and with the involvement of surrounding organs showed that CT,MRI is clear,if the resolution of vascular and lymph nodes,MRI is more sensitive.