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胆囊癌的临床特点及CT影像诊断分析 预览 被引量:1

Clinical features and CT imaging diagnosis of gallbladder carcinoma
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摘要 目的 分析胆囊癌的临床特点及CT影像诊断的价值.方法 将本院2012年5月至2014年5月收治的43例胆囊癌患者纳入研究组行回顾性分析,另随机抽取同期于本院就诊的胆囊结石、胆囊息肉、胆囊良性肿瘤患者共40例为对照组.比较两组患者的一般资料与CT诊断结果,统计分析两组性别、年龄、临床症状、不同期相的CT值差异.结果 胆囊癌组中女性比例、年龄段60~69岁之间的发病人数比例分别为79.07%、48.84%,均明显高于对照组的55.00%、27.50% (P<0.05);胆囊癌组的CT平扫、动脉期、门脉期CT值分别为(35.14±4.07) HU、(51.36±6.27) HU、(66.58±7.74) HU,均显著高于对照组的(29.14±3.30)HU、(42.61±5.24) HU、(57.69±5.49) HU (P<0.05);在43例胆囊癌患者中,CT直接征象检出:肿块型18例,结节型13例,壁肥厚型12例.间接征象检出:合并胆囊结石22例,侵犯邻近组织16例,淋巴结转移13例,远处组织转移4例,腹水5例.结论 老年女性是胆囊癌的高发人群,虽然其临床特征不显著,但可以患者不同期相的CT值与影像学图片为参考基础,综合考虑一般资料与病史后进行胆囊癌的术前诊断. Objective To analyze the clinical features of gallbladder carcinoma and the diagnostic value of CT imaging.Methods 43 patients with gallbladder carcinoma treated at our hospital from May,2012 to May,2014,were selected as a study group and retrospectively analyzed.40 patients with gallbladder stones,gallbladder polyps,or gallbladder benign tumor treated at our hospital during the same period were randomly selected as a control group.After treatment,The general information and CT diagnosis results were compared between these two groups.Their gender,age,clinical symptoms,and the CT value of different phases were statistically analyzed.Results The female proportion and the proportion of the patients aging from 60 to 69 were 79.07% and 48.84% in the study group and were 55% and 27.50% in the control group (P〈0.05).The CT values of plain scan,arterial phase,and portal phase of the study group were (35.14±4.07) HU,(51.36±6.27) HU,and (66.58±7.74) HU,which were significantly higher than those of the control group [(29.14±3.30) HU,(42.61±5.24) HU,and (57.69±5.49)HU] (P〈0.05).The CT findings could be divided into 2 types:(1) direct signs:including 18 cases of mass type,13 cases of nodular type,and 12 cases of wall hypertrophy type;(2)indirect signs:including 22 cases of gallbladder stones,16 cases of adjacent tissue invasion,13 cases of lymph node metastasis,4 cases of distant metastasis,and 5 cases of ascites.Conclusions Elder women are high-risk population of gallbladder carcinoma.Although their clinical features are not significant,the CT value and image of different phases can be considered as a reference basis,and the preoperative diagnosis of gallbladder carcinoma should base on general information and medical history.
作者 李华 Li Hua CT Room, Second People's Hospital of Xinxiang, Xinxiang 453000, China
出处 《国际医药卫生导报》 2016年第14期2161-2163,2166共4页 International Medicine & Health Guidance News
关键词 胆囊癌 临床特点 CT诊断 Gallbladder carcinoma Clinical features CT diagnosis
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