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目的:探讨超声、CT与胰胆管造影(ERCP)检查在肝门部胆管癌的诊断价值。方法:回顾性分析经手术病理证实的肝门部胆管癌32例,对其超声、CT与ERCP检查的表现进行比较分析。结果:在32例中,B超提示肝门部胆管癌19例,确诊率仅59.4%(19/32);CT提示肝门部胆管癌及分型诊断26例,确诊率80.1%(26/32);15例行ER- CP检查均成功,提示肝内胆管、肝门部胆管扩张形态、梗阻部位,阳性率达100%,分型及确诊率为87.5%(28/32)。结论:对肝门部胆管癌的诊断和治疗方案的确定,选择B超与CT检查联用,必要时选择ERCP检查。
Objective: To investigate the diagnostic value of ultrasound, CT and cholangiopancreatography (ERCP) in hilar cholangiocarcinoma. Methods: Thirty-two cases of hilar cholangiocarcinoma confirmed by surgery and pathology were retrospectively analyzed. The results of sonography, CT and ERCP were analyzed comparatively. Results: In 32 cases, 19 cases were diagnosed as hilar cholangiocarcinoma by B-mode ultrasonography, the diagnosis rate was only 59.4% (19/32). CT showed hilar cholangiocarcinoma and 26 cases were diagnosed by biliary tract cancer, the diagnosis rate was 80.1% (26 / 32). The success of ER-CP in 15 cases showed that the intrahepatic bile duct and portal hilar bile duct dilatation morphology and obstruction site had a positive rate of 100%. The typing and diagnosis rate was 87.5% (28/32). Conclusion: The diagnosis of hilar cholangiocarcinoma and treatment options to determine the choice of ultrasound combined with CT examination, if necessary, choose ERCP examination.