摘要:
<b<目的</b< 分析胆囊癌CT误诊原因,以提高诊断正确率。 <b<方法</b< 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23例。与手术结果对照,分析误诊原因。 <b<结果</b< 23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。
关键词:
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X线计算机体层摄影
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胆囊
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癌
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误诊
Abstract:
<b<Objective</b< To analyse the CT misdiagnosed causes of gallbladder carcinoma. In order to improve diagnostic state. <b<Methods</b< 43 patients with the gallbladder carcinoma were examined by computed tomography (CT), 23 of them were misdiagnosed. The misdiagnosed causes were analysed and compared with CT images operation. <b<Results:</b< In the case of misdiagnosis they were diagnosed as acute and chronic cholecystitis in 5; gallbladder polyp in 1; bile duct carcinoma in porta in 2;bile duct carcinoma in 1; neoplasm of distal part of common bile duct or ampulla in 3; carcinoma of head of pancreas in 5;cholangitis in 1; jaundice of obstruction in 2; turgescence of gallbladder in 2; carcinoma of colon in 1. <b<Conclusion:</b< To be aware of CT characters of gallbladder carcinoma and the way of metastasis is useful to avoid misdiagnosis of the gallbladder carcinoma and to improve the diagnostic accuracy.
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