胆囊癌的CT诊断

目的：提高对胆囊癌的认识和诊断水平并总结有鉴别诊断意义的征象。方法：收集经手术及病理证实的胆囊癌14例，进行回顾性分析。结果：（1）胆囊壁局限性或弥漫性不规则增厚8例；（2）胆囊壁突向腔内肿块4例，囊腔尚存；（3）肿块型2例，胆囊区软组织肿块，囊腔缩小或闭塞；其中合并胆囊结石6例、胆囊癌肝转移6例、淋巴结转移5例。结论：CT是诊断胆囊癌影像检查的重要手段之一，结合临床表现有助于提高诊断准确性。

CT diagnosis of gallbladder carcinoma

Objective:To increase the understanding and diagnostic level of the gallbladder carcinoma;To analyse the CT findings in differential diagnosis of the gallbladder cacinoma.Methods:14 cases with the gallbladder carcinoma proved by surgery and pathology were retrospectively studied.Results:The major CT findings:(1)partial or whole thicked wall in 8 cases;(2)nodule in the gallbladder 4 cases;(3)mass in 2 cases,the gallbladder can not seen;(4)the gallbladder stone 6 cases;(5)matastases of the liver 6 cases,lymphnode metastasis 5 cases.Conclusion:CT scan is very important method in diagnosis of the gallbladder carcinoma.Combined clinical history,we can make accurate diagnosis.