中国实用外科杂志2011，Vol.31Issue(12)：1110-1113,4.
肝门胆管癌多层螺旋CT诊断及其手术可切除性评估价值研究
Hilar cholangiocarcinoma: diagnosis and assessment of resectability with multi-slice CT
邹俊民 1东培龙 2射淑飞 3赵振军3
作者信息
- 1. 广东省茂名农垦医院放射科
- 2. 广东省茂名农垦医院外一科,广东高州 525200
- 3. 广东省医学科学院广东省人民医院影像医学部,广东广州 510080
- 折叠
摘要
Abstract
Objective To summarize the multi-slice CT(MSCT) features of hilar cholangioearcinoma.and also toy to analyze the value of MSCT in evaluating the feasibility of resection. Methods MSCT features of 28 patients with hilar cholangiocarcinoma confirmed by clinical and pathological examination between August 2004 and June 2009 in the Hospital of Maoming Nongken of Guangdong Province were analyzed retrospectively. Bismuth-Corlette classification of the tumor was performed firstly. Feasibility of resection was then evaluated with MSCT images. The conclusion drawn by radiologists was compared with clinical outcomes finally. Results The accuracy rate of MSCT in diagnosing hilar cholangiocarcinoma is 92.8% (26/28). The accuracy rate of MSCT in classifying tumor is 96.4% (27/28). Thirteen patients were suggested resection by MSCT, however 10 of them can be resected during the operation. So positive predictive value of MSCT in evaluating the feasibility of resection is 76.9%(10/13). Fifteen patients were suggested to abandon resection by MSCT, and 14 of them were confirmed by operation and performed internal and external drainage. So negative predictive value of MSCT in evaluating the feasibility of resection is 93.3%(14/15). The total accuracy rate of MSCT in evaluating the feasibility of resection of hilar cholangiocarcinoma was 85.7%(24/28). Conclusion MSCT can demonstrate hilar cholangiocarcinoma and assess the extent of tumor involvement accurately. It is an effective modality in assessment of feasibility of resection of hilar cholangiocarcinoma.关键词
胆管肿瘤,肝门/体层摄影术,X线计算机Key words
hilar bile duct neoplasme/ multi-slice spiral CT分类
医药卫生引用本文复制引用
邹俊民,东培龙,射淑飞,赵振军..肝门胆管癌多层螺旋CT诊断及其手术可切除性评估价值研究[J].中国实用外科杂志,2011,31(12):1110-1113,4.
