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目的为了评价超声与CT检查在胆管癌诊断中的临床应用价值。方法回顾经手术病理证实的46例胆管癌超声与CT诊断资料,并进行对比分析。结果定位准确率:超声92%,CT 96%;定性准确率(即能明确显示肿块):超声78.6%,CT 75.3%。结论超声与CT对胆管癌的整体诊断率相当,定性诊断(明确显示肿块)则B超优于CT,两者对不同部位的胆管癌诊断各具优势,互相补充,可提高胆管癌的确诊率,而超声是胆管癌初步筛查的首选检查方法。
Objective To evaluate the clinical value of ultrasound and CT in the diagnosis of cholangiocarcinoma. Methods The diagnosis data of 46 cases of cholangiocarcinoma confirmed by surgery and pathology were retrospectively analyzed and compared. Results Positioning accuracy: 92% ultrasound, CT 96%; qualitative accuracy (that can clearly show the mass): 78.6% ultrasound, CT 75.3%. Conclusion Ultrasound and CT have the same overall diagnosis rate of cholangiocarcinoma. The qualitative diagnosis (clearly showing the mass) is superior to CT in diagnosing cholangiocarcinoma, which can improve the diagnosis of cholangiocarcinoma , And ultrasound is the preferred screening method for primary screening of cholangiocarcinoma.