外科理论与实践2019，Vol.24Issue(2)：131-134,4.DOI:10.16139/j.1007-9610.2019.02.010
CT血管成像评估肝门胆管癌的可切除性
CT angiography in evaluating resectability of hilar cholangiocarcinoma
摘要
Abstract
Objective To investigate the clinical value of abdominal CT angiography (CTA) in evaluating resectability of hilar cholangiocarcinoma. Methods The clinical data of 86 patients with hilar cholangiocarcinoma diagnosed pathologically in Department of Surgery this hospital were reviewed from January 2013 to December 2018. All patients underwent CT scan and CTA preoperatively for assessing of surgical resectability of hilar cholangiocarcinoma. Results A total of 53 patients (61.63％) had radical resection (R0 resection) in 86 patients with hilar cholangiocarcinoma. Remaining 33 patients underwent palliative surgery because of vascular invasion, distant lymph node metastasis or extensive intra-abdominal metastasis. CTA provided higher accuracy in evaluating major vascular invasion near the hepatic hilum with sensitivity78.79％, specificity 92.45％ and accuracy 87.21％. In evaluating lymph node metastasis near the hepatic hilum, CTA provided sensitivity only 42.86％. CTA evaluated distant metastasis with same sensitivity 42.86％. Conclusions CTA has certain advantages in evaluating major vascular invasion near the hepatic hilum. However, the sensitivity of CTA is poor in evaluating hilar lymph node metastasis and distant metastasis.关键词
肝门胆管癌/CT血管成像/血管侵犯Key words
Hilar cholangiocarcinoma/CT angiography/Vascular invasion分类
医药卫生引用本文复制引用
李敏,陶颖,宋陆军,倪晓凌,锁涛,刘寒,石洪成,刘厚宝..CT血管成像评估肝门胆管癌的可切除性[J].外科理论与实践,2019,24(2):131-134,4.基金项目
国家自然科学基金(81600630) （81600630）
