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肝门部胆管癌的多层螺旋CT诊断
引用本文:周林锋,王建俭,蔡曙耘,梁海毛,. 肝门部胆管癌的多层螺旋CT诊断[J]. 放射学实践, 2009, 24(1): 51-53
作者姓名:周林锋  王建俭  蔡曙耘  梁海毛  
作者单位:中山小榄人民医院放射科,广东,528415
摘    要:目的:评价MSCT对肝门部胆管癌的诊断价值。方法:回顾性分析17例行MSCT平扫及动态增强扫描的肝门部胆管癌影像学资料,并与手术及病理对照分析。结果:全部病例均有肝内外胆管扩张,肝内胆管扩张呈软藤状。胆管内肿块(5例),胆管壁局限增厚和管腔狭窄(12例),平扫均为等密度。增强扫描3例强化,14例延迟强化。结论:胆管壁局限增厚、胆管内肿块是肝门部胆管癌的较特征性CT征象,MSCT扫描结合薄层三维重建对诊断具有重要意义。

关 键 词:胆管肿瘤  体层摄影术,X线计算机  图像处理,计算机辅助

Multi-slice Spiral CT Diagnosis of Biliary Duct Carcinoma in Porta Hepatis
Affiliation:ZHOU Lin-feng, WANG Jian-jian, CAI Shu- yun, et al. (Department of Radiology, Xiaolan People' s Hospotal, Guangdong 528415, P. R. China)
Abstract:Objective:To assess the value of multi-slice spiral CT(MSCT) in the diagnosis of biliary duct carcinoma in porta-hepatis.Methods:17 patients with biliary duct cancer in porta-hepatis underwent plain and dynamic enhanced MSCT.CT findings were retrospectively analyzed and correlated with that of surgery and pathology.Results:Intra-and extra-hepatic cholangiectasis were shown in all cases.Rattan-like intra-hepatic bile duct dilatation were found.There were intra-ductal mass lesion(n=5) and focal thickening of ...
Keywords:Bile duct neoplasms  Tomography  X-ray computed  Image processing computer-assisted  
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