CT、MRI在胆管细胞癌诊断中的应用价值

The application value of CT and MRI in the diagnosis of cholangiocarcinoma

目的:探讨CT和MRI在胆管细胞癌中的诊断价值。方法:2016年1月-2019年5月收治胆管细胞癌患者24例,进行CT与MRI检查,观察影像学分型与图像检测质量。结果:CT扫描质量高于MRI扫描质量,差异有统计学意义(P<0.05)。肿块型发生率高于浸润狭窄型、腔内生长型、不明确型,差异有统计学意义(P<0.05)。腔内生长型、浸润狭窄型、不明确型发生率比较,差异无统计学意义(P>0.05)。病灶类型中,肝门区胆管癌9例(37.5%),肝外胆管10例(41.7%),周围性(肝内)胆管癌5例(20.8%)。结论:在胆管细胞癌诊断中运用CT、MRI扫描方式均较为常见,其中64层螺旋CT扫描具有更高准确率,图像更为清晰。

Objective:To explore the diagnostic value of CT and MRI in cholangiocarcinoma.Methods:24 patients with cholangiocarcinoma were selected from January 2016 to May 2019.CT and MRI scan were performed to observe the quality of image classification and image detection.Results:The incidence of mass type was higher than that of invasive stenosis type,intraluminal growth type and uncertain type,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of intraluminal growth type,infiltrative stenosis type,unidentified type(P>0.05).Among the lesion types,9 cases(37.5%)had hilar cholangiocarcinoma,10 cases(41.7%)had extrahepatic cholangiocarcinoma,and 5 cases(20.8%)had peripheral(hepatic)cholangiocarcinoma.CT scan quality was higher than MRI scan quality,the difference was statistically significant(P<0.05).Conclusion:CT and MRI scans are common in the diagnosis of cholangiocarcinoma.Among them,64-slice spiral CT scan has higher accuracy and the image is clearer.