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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 2 3例。与手术结果对照 ,分析误诊原因。结果 2 3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 analyze the causes of misdiagnosis of gallbladder carcinoma in order to improve the diagnostic accuracy. Methods Forty-three cases of gallbladder carcinoma confirmed by surgery and pathology were collected and underwent CT scan, of which 23 cases were misdiagnosed. Contrast with the surgical results, analyze the causes of misdiagnosis. Results In 23 cases of misdiagnosis, 5 cases were diagnosed as acute and chronic cholecystitis, 1 case of gallbladder polyp, 2 cases of hilar cholangiocarcinoma, 1 case of cholangiocarcinoma, 3 cases of common bile duct, 3 cases of ampulla and 5 cases of pancreatic head cancer 1 case of common bile duct inflammation, 2 cases of obstructive jaundice, 2 cases of gallbladder enlargement and 1 case of colon cancer. Conclusion The CT features of gallbladder carcinoma and their metastatic pathways are clear, which can avoid misdiagnosis and improve the diagnostic accuracy.