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厚壁型胆囊癌与慢性胆囊炎的CT鉴别诊断
引用本文:徐招土.厚壁型胆囊癌与慢性胆囊炎的CT鉴别诊断[J].CT理论与应用研究,2002,11(2):25-27.
作者姓名:徐招土
作者单位:浙江省台州市中医院,318000
摘    要:目的 探讨厚壁胆囊癌与慢性胆囊炎的鉴别诊断。方法 收集经病理证实的厚壁型胆囊癌15例与慢性胆囊炎15例的CT扫描进行对比分析。结果 15例厚壁型胆囊癌壁不规则增厚,增强的胆囊壁见连续性中断6例,胆囊腔变小和失去正常形态8例,胆囊壁显僵硬9例,胆囊周界不清10例,9例病人不同程度的胆总管扩张,7例见淋巴结肿大。15例慢性胆囊炎2例壁厚薄不均,胆囊挛缩变小,壁略显僵硬2例,胆囊周界不清4例,均未见肿大淋巴结。结论 CT在胆囊癌与慢性胆囊炎的鉴别诊断中有重要价值。

关 键 词:胆囊癌  慢性胆囊炎  X线计算机断层摄影  诊断
文章编号:1004-4140(2002)02-0025-03
修稿时间:2002年2月20日

Differential Diagnosis of CT between Gallbladder Carcinoma of Thick Wall and Chronic Cholecystitis
XU Zhaotu.Differential Diagnosis of CT between Gallbladder Carcinoma of Thick Wall and Chronic Cholecystitis[J].Computerized Tomography Theory and Applications,2002,11(2):25-27.
Authors:XU Zhaotu
Abstract:Objective To discuss differential diagnosis between gallbladder carcinoma of thick wall and chronic ccholecystitis. Methods Gallbladder carcinoma of thick wall in 15 cases and chronic cholecystitis in 15 cases proved by pathology were analysed by comparison. Results: Gallbladder wall in all cases with gallbladder carcinoma was irregular thickened. It's wall of in 6 cases were interruption after enhancement. It's caverna in 8 cases were small and normal shape were lost, It's wall in 9 cases were stiff. It's round in 10 cases were not clear, Lymph node in 7 cases were big. 15 cases chronic cholecystitis: Gallbladder wall in 2 cases were irregular thicken, gallbladder were changed small and it's wall were stiff in 2 cases. It's round in 4 cases were not clear. All one's Lymph node were not big. Conclusion: Differential diagnosis of CT have important value between gallbladder carcinoma of thick wall and chronic cholecystitis.
Keywords:gallbladder carcinoma  chronic cholecystitis  caverna  tomography  x-ray computed  
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