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多排螺旋CT鉴别诊断黄色肉芽肿性胆囊炎和胆囊癌 预览 被引量:27

Differential diagnosis of xanthogranulomatous cholecystitis and gallbladder cancer with multi-detector CT
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摘要 目的探讨多排螺旋CT(MDCT)鉴别诊断黄色肉芽肿性胆囊炎和胆囊癌的价值。方法回顾性分析经手术病理证实的11例黄色肉芽肿性胆囊炎(XGC)和20例胆囊癌(GBC)的资料,所有患者术前均接受MDCT检查,并分析两种病变的CT征象。结果胆囊壁的增厚方式、黏膜线情况、是否有壁内低密度结节和胆道梗阻在XGC和GBC患者间差异有统计学意义(P均〈0.05)。XGC与GBC患者发生邻近肝脏及周围组织改变的病例数差异无统计学意义(P〉0.05),但邻近组织改变的形式不同。结论 MDCT扫描可为鉴别诊断黄色肉芽肿性胆囊炎和胆囊癌提供客观依据。 Objective To explore the diagnostic value of multi-detector CT(MDCT) in differentiating xanthogranulomatous cholecystitis(XGC) from gallbladder cancer(GBC).Methods CT manifestations of 11 XGCs and 20 GBCs proved pathologically were analyzed retrospectively.All patients underwent MDCT before operation,and CT signs of XGC and GBC were analyzed.Results XGC and GBC were significant different according to CT findings including the mode of GB wall thickening,the mucosal line being continuous or not,having intra-mural hypo-attenuated nodules and intra-hepatic bile duct dilatation or not(P0.05).The numbers of patients with infiltration of hepatic and adjacent tissue were not significant difference,but the form of changes of adjacent tissues was different between XGC and GBC.Conclusion MDCT scanning can provide objective basis for differentiate XGC from GBC.
作者 郎宁 刘剑羽 王永进 单晗 LANG Ning,LIU Jian-yu,WANG Yong-jin,SHAN Han(1.Department of Radiology,Peking University Third Hospital,Beijing 100191,China;2.Department of Radiology,Handan Mining Group Company General Hospital,Handan 056105,China)
出处 《中国医学影像技术》 CSCD 北大核心 2011年第2期333-336,共4页 Chinese Journal of Medical Imaging Technology
关键词 胆囊炎 胆囊肿瘤 体层摄影术 X线计算机 Cholecystitis Gallbladder neoplasms Tomography X-ray computed
作者简介 郎宁(1980-),女,北京人,硕士,主治医师。研究方向:影像诊断。E—mail:1angning800129@126.com [通讯作者]刘剑羽,北京大学第三医院放射科,100191。E—mail:jyliu5791@126.com
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参考文献7

  • 1徐雯 ,周林江 ,程红岩 .黄色肉芽肿性胆囊炎的CT表现[J].中国医学影像技术,2005,21(10):1543-1545. 被引量:15
  • 2Shuto R,Kiyosue H,Komatsu E,et al.CT and MR imaging findings of xanthogranulomatous cholecystitis:correlation with pathologic findings.Eur Radiol,2004,14(3):440-446. 被引量:1
  • 3Hsu C,Hurwitz JL,Schuss A,et al.Radiology pathology conference:Xanthogr anulomatous cholecystitis.Clin Imaging,2003,27(6):421-425. 被引量:1
  • 4张丽蓉,赵素岗,毛淑华.螺旋CT增强扫描在胆囊癌诊断中的应用[J].中国医学影像技术,2003,19(4):502-503. 被引量:3
  • 5Chun KA,Ha HK,Yu ES,et al.Xanthogranulomatous cholecystitis:CT features with emphasis on differentiation from gallbladder carcinoma.Radiology,1997,2003(1):93-97. 被引量:1
  • 6Kim PN,Lee SH,Gong GY,et al.Xanthogranulomatous cholecystitis:radiologic findings with histologic correlation that focuses on intramural nodules.AJR Am J Roentgenol,1999,172(4):949-953. 被引量:1
  • 7Guermazi A.Are there other imaging features to differentiate xanthogranulomatous cholecystitis from gallbladder carcinoma? Eur Radiol,2005,15(6):1271-1272. 被引量:1

二级参考文献7

  • 1[1]Kumar A,Aggarwal S.Carcinoma of the gallbladder:CT findings in 50 cases[J]. Abdom Image,1994,19(4):304. 被引量:1
  • 2[2]Furukawa H,Tkayasu K,Mukai K,et al.CT evaluation of small polypoid lesions of the gallbladder[J].Hepatogastroenterology,1995,42(9):800. 被引量:1
  • 3Shuto R, Kiyosue H, Komatsu E, et al. CT and MR imaging findings of xanthogranulomatous cholecystitis: correlation with pathologic findings[J]. Eur Radiol, 2004,14(4): 440-446. 被引量:1
  • 4Parra JA, Acinas O, Bueno J, et al. Xanthogranulomatous cholecystitis: clinical, sonographic, and CT findings in 26 patients [J].AJR, 2000, 174(4) :979-983. 被引量:1
  • 5Chun KA, Ha HK, Yu ES, et al. Xanthogranulomatous cholecystitis: CT features with emphasis on differentiation from gallbladder carcinoma[J]. Radiology, 1997,203 (1): 93-97. 被引量:1
  • 6孙修堂,陈海松.黄色肉芽肿性胆囊炎的CT诊断[J].中华放射学杂志,1999,33(4):261-262. 被引量:31
  • 7王益钟,梁廷波,景泉荣,徐世忠,陈善良.黄色肉芽肿性胆囊炎8例报告[J].中国普通外科杂志,2002,11(4):252-253. 被引量:14

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