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目的 探讨原发性胆囊癌ＣＴ表现特征、病期判断和临床应用价值。方法 对３７ 例原发性胆囊癌的手术病理结果与ＣＴ 扫描结果进行了回顾性对比分析。结果 原发性胆囊癌根据ＣＴ 表现分为腔内型、壁厚型、肿块型。胆囊癌主要转移形式是直接侵犯肝脏和淋巴结转移。结论 （１）ＣＴ检查对良恶性胆囊疾患鉴别有一定意义。（２）ＣＴ对胆囊癌壁外侵犯与转移的判定具有一定敏感度，且特异性较高，应作为胆囊癌术前常规检查。（３）ＣＴ 对术前评估病变能否切除具有一定价值，避免盲目手术探查造成胆囊癌术后并发症及手术近期死亡的发生。
Objective To explore the CT features of primary gallbladder cancer, stage judgment and clinical value. Methods Retrospective comparative analysis of surgical pathology results and CT scan results of 37 cases of primary gallbladder cancer. Results According to CT, primary gallbladder carcinoma was divided into cavity type, wall thickness type and mass type. The main form of gallbladder cancer metastasis is a direct violation of the liver and lymph node metastasis. Conclusion (1) CT examination of benign and malignant gallbladder disease has some significance. (2) CT has a certain sensitivity and high specificity for judging the invasion and metastasis of gallbladder carcinoma outside the wall, and should be used as routine preoperative examination of gallbladder cancer. (3) CT preoperative assessment of lesions can be removed with some value, to avoid blind surgery to cause postoperative complications of gallbladder cancer and the occurrence of recent surgery.