摘要
目的:总结胆囊良恶性占位的多层螺旋CT(MSCT)表现,以期提高胆囊良恶性占位的术前诊断准确率。方法:回顾性分析经手术组织病理证实26例胆囊息肉样病变及15例胆囊癌患者的MSCT影像资料。结果:与手术组织病理结果进行对照,MSCT术前诊断为胆囊癌17例,诊断为胆囊息肉样病变18例,胆囊腺瘤6例;41例胆囊良恶性患者MSCT表现为肿块型23例,多发结节型16例,厚壁型2例;侵犯邻近脏器5例,肝门部及腹膜后淋巴结转移5例。结论:胆囊良恶性占位通过MSCT直接及间接征象于术前明确诊断,误诊原因与影像直接征象和间接征象不典型有关。
Objective：To summarize the performance of multi-slice spiral CT （MSCT） in benign and malignant gallbladder, so as to improve the accuracy of preoperative diagnosis of gallbladder benign and malignant space. Methods：MSCT images of 26 patients with gallbladder polypoid lesions and 15 patients with gallbladder carcinoma were retrospectively analyzed by operation histopathology.Results：Compared with the histopathological results, MSCT was diagnosed as 17 cases of gallbladder carcinoma, 18 cases of gallbladder polypoid lesions, 6 cases of gallbladder adenoma, 41 cases of benign and malignant gallbladder MSCT showed 23 cases of mass, Nodular type in 16 cases, thick wall type in 2 cases; invasion of adjacent organs in 5 cases, hilar and retroperitoneal lymph node metastasis in 5 cases.Conclusion：The benign and malignant space of gallbladder is diagnosed by MSCT directly and indirectly, and the cause of misdiagnosis is related to the phenomenon of direct signs and indirect signs.
出处
《安徽卫生职业技术学院学报》
2017年第6期39-40,共2页
Journal of Anhui Health Vocational & Technical College
