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目的:探讨胆囊癌的螺旋CT影像特点。方法:回顾性分析经手术病理证实的10例胆囊癌的螺旋CT影像特征。结果:胆囊壁增厚型2例,腔内结节型3例,软组织肿块型5例。肝脏受侵犯5例,淋巴结转移2例,肝内、外胆管扩张2例,合并胆囊结石8例。术前螺旋CT诊断正确率为80%(8/10)。结论:胆囊癌的螺旋CT表现有一定特征性,螺旋CT能较正确地确诊,为临床手术提供指导。
Objective: To investigate the features of spiral CT in gallbladder carcinoma. Methods: The CT features of 10 cases of gallbladder carcinoma confirmed by surgery and pathology were analyzed retrospectively. Results: There were 2 cases of gallbladder wall thickening, 3 cases of intracavitary nodules and 5 cases of soft tissue mass. 5 cases of liver invasion, 2 cases of lymph node metastasis, intrahepatic and extrahepatic bile duct dilation in 2 cases, gallbladder stones in 8 cases. The correct rate of preoperative spiral CT was 80% (8/10). Conclusion: The CT findings of gallbladder carcinoma have certain characteristics. Spiral CT can be more accurately diagnosed and provide guidance for clinical operation.