摘要
目的探讨不同检测方法对胆囊癌的诊断价值,为胆囊癌的早期诊断提供依据。方法选取15例胆囊病变患者进行研究,所有患者均行CT和MRI检测,并于术后给予病理检测,观察CT和MRI诊断的特异性和敏感性。结果 15例患者经术后病理检查,胆囊炎、胆结石4例,胆囊癌11例;CT检查显示:胆囊炎、胆结石5例,胆囊腺肌症1例,胆囊癌9例;MRI检查显示:胆囊炎、胆结石5例,胆囊癌10例。MRI敏感率达90.91%,CT敏感率达81.82%。9例胆囊癌患者术前CT、MRI均得到明显诊断,且其中4例为早期胆囊癌,病理上均没有突破浆膜层。结论 CT平扫对胆囊癌的诊断率较低,增强CT对本病的诊断率明显提高,而MRCP的多方位观察对侵犯胆总管及周围肝脏结构有较大的诊断价值,因而在今后的临床诊断应用中应相互结合,取长补短,以提高对本病的诊断率,更好地为临床服务。
Objective To study the effect of CT and MRI in diagnosing for primary carcinoma of gallbladder. It could provide a better way to diagnosis the primary carcinoma of gallbladder. Methods 15 patients with gallbladder disease from January 2008 to December 2013 in our hospital were to be studied. All patients were underwent CT and MRI testing, and postoperative pathological examination were given to observe the speciifcity and sensitivity of CT and MRI diagnosis. Results Of 15 cases of patients with postoperative pathological examination, there were four cases of cholecystitis, gallstones, 11 cases of gallbladder;CT examination showed：cholecystitis, gallstones ifve cases, one case of gallbladder adenomyosis, gallbladder nine cases;MRI examination showed：cholecystitis, 5 cases had gallstones, 10 cases had gallbladder cancer. MRI sensitivity rate was 90.91%, CT-sensitive rate were 81.82%. 9 cases of gallbladder surgery patients before CT, MRI diagnosis were signiifcantly and where four cases of early gallbladder cancer, and it did not break through the serosa pathology. Conclusion CT scan of the lower rate of gallbladder cancer diagnosis, enhanced CT diagnosis of the disease was signiifcantly improved, while the multi-faceted observation MRCP for violations surrounding the common bile duct and liver structure greater diagnostic value, and thus in future clinical diagnosis applications should be combined with each other, learn from each other in order to improve the diagnostic rate of this disease, the better for clinical services.
出处
《当代医学》
2014年第35期79-80,共2页
Contemporary Medicine
关键词
胆囊癌
CT
MRI
Carcinoma of gallbladder
CT
MRI
