| 胆囊癌的多层螺旋CT分期和手术可切除性的评价 |
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| 引用本文： | 曹伟,杨小庆. 胆囊癌的多层螺旋CT分期和手术可切除性的评价[J]. 实用医技杂志, 2008, 15(17): 2179-2182 |
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| 作者姓名： | 曹伟 杨小庆 |
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| 作者单位： | 1. 徐州市第一人民医院,江苏,徐州,221002
2. 东南大学中大医院,江苏,南京,210048 |
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| 摘 要： | 目的:我们研究的目的是为了确定16层螺旋CT三期增强后三维重建在确定胆囊癌的CT分期和评价手术可切除性的价值。方法:27例临床和超声检查怀疑胆囊癌的病例,前瞻性分析其16层螺旋CT三期增强表现,这些病例中,有20例做了胆囊癌根治性切除术或姑息手术的患者,包括在本研究中。三维容积重建评价血管的解剖及受侵犯情况,CT分期及可切除性评价与手术病理对照。结果:根据CT表现,8例肿瘤可切除,12例不能切除。术中发现11例肿瘤可切除,9例不能切除,3例CT分期过高,认为不能切除的病例是由于CT误诊十二指肠受浸润。在评价胆囊癌可切除性方面,CT的敏感性72.7%,特异性100%,准确性85%,在肝脏和血管受侵犯方面与CT表现和手术所见完全相关一致,接受根治性胆囊癌切除的患者中发现6例血管变异。结论:三期增强螺旋CT三维重建是一种可靠的分期胆囊癌的影像方法,术前可确定血管的走行路径。
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| 关 键 词： | 癌 胆囊 16层螺旋CT |
16-slice Spiral CT in Staging and Assessing Respectability of Gallbladder Carcinoma |
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| CAO Wei,YANG Xiao-qing. 16-slice Spiral CT in Staging and Assessing Respectability of Gallbladder Carcinoma[J]. Journal of Practical Medical Techniques, 2008, 15(17): 2179-2182 |
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| Authors: | CAO Wei YANG Xiao-qing |
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| Affiliation: | CAO Wei1; YANG Xiao-qing2(1.The First people’s Hospital of Xuzhou; Xuzhou; Jiangsu 221002; China; 2.Zhongda Hospital of Dongnan University; Nanjing; Jiangsu 210048; China); |
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| Abstract: | ObjectiveThe purpose of our study was to determine the utility of three-phase 16-slice spiral CT with 3D reconstruction in the staging and respectability of gallbladder carcinoma. Methods Twenty-seven consecutive patients with suspected gallbladder carcinoma on clinical examination and routine sonography were prospectively analyzed with three-phase 16-slice spiral CT of these patients, only 20 who underwent a laparotomy for extended sholecystectomy or a palliative surgery were included in the study. Three—d... |
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| Keywords: | Cancer Gallbladder 16-slice spiral CT |
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