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目的通过对胆管细胞癌和肝癌的CT表现与手术病理对照分析以提高CT对其的诊断水平。方法 28例采用德机SIMENS欢悦螺旋CT机,常规平扫后,以2.5 ml/s静脉团注碘海醇80~100 ml进行增强扫描。结果 7例出现软藤征;6例并发肝内胆管结石;11例出现镶嵌征;4例肿瘤局部可见肝包膜凹陷征。结论肝脏特殊的CT征象表现对正确诊断胆管细胞癌和肝癌有一定价值,特别是软藤征和镶嵌征对二者的鉴别诊断有重要意义。
Objective To compare the CT findings of cholangiocarcinoma and hepatocellular carcinoma with surgical pathology to improve the diagnostic value of CT. Methods Twenty-eight patients were enrolled in this study. The patients were enrolled in this study. After conventional plain scan, they were enrolled in a 2.5 ml / s iv bolus injection of 80-100 ml iohexol. Results 7 cases appeared soft rattan sign; 6 cases complicated intrahepatic bile duct stones; 11 cases appeared mosaic signs; 4 cases of local tumor showed hepatic capsule depression sign. Conclusion The special CT features of liver have certain value for the correct diagnosis of cholangiocarcinoma and hepatocellular carcinoma. In particular, the differential diagnosis of both soft raccoon and inlaid plugs is of great significance.