| 胆囊癌CT误诊分析 |
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| 引用本文： | 伊东升,何玉梅,王洪兵.胆囊癌CT误诊分析[J].CT理论与应用研究,2004,13(2):51-53. |
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| 作者姓名： | 伊东升 何玉梅 王洪兵 |
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| 作者单位： | 山东省嘉祥县中医院,中国272400 |
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| 摘 要： | 目的分析胆囊癌CT误诊原因,以提高诊断正确率.方法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.结果 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.
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| 关 键 词： | X线计算机体层摄影 胆囊 癌 误诊 |
| 文章编号： | 1004-4140(2004)01-0051-03 |
| 修稿时间： | 2004年8月29日 |
Analysis on CT Misdiagnosis of Gallbladder Carcinoma |
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| YI Dong-sheng,HE Yu-mei,WANG Hong-bing.Analysis on CT Misdiagnosis of Gallbladder Carcinoma[J].Computerized Tomography Theory and Applications,2004,13(2):51-53. |
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| Authors: | YI Dong-sheng HE Yu-mei WANG Hong-bing |
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| Abstract: | Objective To analyse the CT misdiagnosed causes of gallbladder carcinoma. In order to improve diagnostic state. Methods 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. Results: 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. Conclusion: 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 rate. |
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| Keywords: | X-ray computed tomography gallbladder carcinoma misdiagnosis |
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