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目的研究多层螺旋CT在肝门区胆管癌中的应用价值,包括早期诊断及术前评估。方法选取我院2012年9月-2013年4月间31例手术确诊为肝门区胆管癌的患者,行多层螺旋CT增强扫描及三维重组后,由3位医师给出诊断及术前评估,对比术中评估。结果 CT诊断确诊肝门胆管癌29例,未确诊2例,手术确诊31例,未确诊0例,CT诊断正确率达93.5%。CT诊断可切除21例,不可切除10例,手术证实可切除20例,不可切除11例。结论多层螺旋CT能以较高的正确率诊断肝门胆管癌,并且能给出较准确的术前评估。
Objective To study the value of multi-slice spiral CT in hilar cholangiocarcinoma, including early diagnosis and preoperative evaluation. Methods Totally 31 patients with hilar cholangiocarcinoma in our hospital from September 2012 to April 2013 were retrospectively analyzed by three-dimensional multi-slice spiral CT and three-dimensional reconstruction. The diagnosis and preoperative evaluation , Compared with intraoperative assessment. Results CT diagnosis of hilar cholangiocarcinoma in 29 cases, 2 cases were not diagnosed, 31 cases were diagnosed by surgery, 0 cases were not diagnosed, CT diagnostic accuracy rate of 93.5%. CT diagnosis of resectable in 21 cases, unresectable in 10 cases, surgery confirmed resectable in 20 cases, unresectable in 11 cases. Conclusion Multi-slice spiral CT can diagnose hilar cholangiocarcinoma with high accuracy and can give a more accurate preoperative evaluation.