论文部分内容阅读
目的探讨阻塞性黄疸的CT诊断价值。方法 97例阻塞性黄疸患者经临床手术及病理学证实。结果本组病例中肝内胆管扩张38例,胆总管扩张31例,胆囊扩大17例,肿块性病变16例,胆总管结石8例,其他共计6例。结论 CT检查能明确阻塞性黄疸的部位,但CT对胆管癌的诊断有一定的局限性,凡胰头肿大患者应行CT引导下穿刺活检。欲明确诊断,穿刺活检是应遵循的方法 。
Objective To investigate the diagnostic value of CT in obstructive jaundice. Methods 97 patients with obstructive jaundice were confirmed by clinical operation and pathology. Results Thirty-eight cases of intrahepatic bile duct dilation, 31 cases of common bile duct dilatation, 17 cases of gallbladder enlargement, 16 cases of lumps disease, 8 cases of common bile duct stones and 6 cases of others were included in this study. Conclusion CT examination can clearly identify the site of obstructive jaundice. However, CT has some limitations in the diagnosis of cholangiocarcinoma. CT guided percutaneous biopsy should be performed in patients with enlarged pancreatic head. To confirm the diagnosis, biopsy is the method to be followed.