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目的探讨CT对胆囊癌的临床诊断及其相关意义。方法 2010年7月至2012年7月期间,我院诊治的22例胆囊癌患者,术前全部进行CT检查,并与病理学检查相结合,对其影像学资料进行回顾性分析。结果 22例胆囊癌患者,影像学检查诊断为胆囊癌19例,误诊3例,其确诊率和误诊率分别为86.4%和13.6%,3例CT检查误诊为慢性胆囊炎(2例)和化脓性胆囊炎(1例)。胆囊癌CT检查中,13例肿块型、6例浸润型,以及3例结节型。结论对于胆囊癌患者,加强CT检查的检出率,为临床诊断提供客观依据,做到早期诊断、早期治疗。
Objective To investigate the clinical diagnosis of gallbladder carcinoma (CT) and its significance. Methods From July 2010 to July 2012, 22 cases of gallbladder carcinoma diagnosed and treated in our hospital were examined by CT before operation and combined with pathological examination. The imaging data were retrospectively analyzed. Results Twenty-two cases of gallbladder carcinoma were diagnosed as gallbladder cancer by imaging examination in 19 cases and misdiagnosis in 3 cases. The diagnosis and misdiagnosis rates were 86.4% and 13.6% respectively. Three cases of CT were misdiagnosed as chronic cholecystitis (2 cases) and suppurative Cholecystitis (1 case). Gallbladder CT examination, 13 cases of mass type, 6 cases of invasive type, and 3 cases of nodular. Conclusion For patients with gallbladder cancer, to strengthen the detection rate of CT examination for clinical diagnosis to provide an objective basis for early diagnosis and early treatment.