胆囊癌CT误诊分析

Analysis on CT Misdiagnosis of Gallbladder Carcinoma

目的 分析胆囊癌 CT 误诊原因,以提高诊断正确率。方法 搜集经手术病理证实的胆囊癌病例 43 例,均行CT扫描,其中误诊23例。与手术结果对照,分析误诊原因。结果 23例误诊中,诊断为急慢性胆囊炎5例,胆囊息肉1 例。肝门区胆管癌2 例,胆管癌1 例,胆总管下端.壶腹部占位3 例,胰头癌5 例,胆总管炎症1例,梗阻性黄疸2例,胆囊肿大2例,结肠癌1例。结论 明确胆囊癌的CT征象及其转移途径,可以避免误诊,提高诊断正确率。

Objective To analyse the CT misdiagnosed causes of gallbladder carcinoma. In order to improve diagnostic state. Methods 43 patients with the gallbladder carcinoma were examined by computed tomography (CT), 23 of them were misdiagnosed. The misdiagnosed causes were analysed and compared with CT images operation. Results: In the case of misdiagnosis they were diagnosed as acute and chronic cholecystitis in 5; gallbladder polyp in 1; bile duct carcinoma in porta in 2;bile duct carcinoma in 1; neoplasm of distal part of common bile duct or ampulla in 3; carcinoma of head of pancreas in 5;cholangitis in 1; jaundice of obstruction in 2; turgescence of gallbladder in 2; carcinoma of colon in 1. Conclusion: To be aware of CT characters of gallbladder carcinoma and the way of metastasis is useful to avoid misdiagnosis of the gallbladder carcinoma and to improve the diagnostic rate.