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目的:胆管癌患者的螺旋CT强化特征与病理学对照分析的临床应用。方法:选取我院从2011年3月～2012年3月收治的胆管癌患者共43例。对比患者螺旋CT强化结果以及病理学结果,总结分析患者螺旋CT强化特征。结果:对比患者的病理学结果,患者进行螺旋CT扫描时其门脉期的检出率最高,与病理学结果相符合,与病理学检查结果没有显著性差异(P>0.01);平扫期和门脉期的检查结果与病理结果与显著性差异(P<0.01)。患者的病理诊断结果显示患者均为胰癌,其形状不规则,呈现腺样的结构,为结节状、乳头状的软组织的肿块,肿瘤为灰白色,质地相对较硬。手术切除中发现患者的病灶常与周围的结构粘连。结论:螺旋CT能够有效对胆管癌进行诊断,特别是在门脉期,其检测符合率较高。
OBJECTIVE: The clinical application of helical CT in cholangiocarcinoma patients with contrast-enhanced analysis of pathology. Methods: Forty-three patients with cholangiocarcinoma admitted to our hospital from March 2011 to March 2012 were selected. Comparing patients with spiral CT enhancement results and pathological findings, analysis of the characteristics of patients with spiral CT enhancement. Results: Comparing the pathological results of patients, the detection rate of spiral CT in the portal phase was the highest, which was consistent with the pathological findings and had no significant difference with the pathological findings (P> 0.01) And portal vein test results and pathological results and significant differences (P <0.01). Pathological diagnosis of patients showed that patients are pancreatic cancer, its irregular shape, showing the structure of adenoid, nodular, papillary soft tissue mass, the tumor is gray, the texture is relatively hard. Surgical removal of the patient’s lesions found often with the surrounding structural adhesions. Conclusion: Spiral CT can effectively diagnose cholangiocarcinoma, especially in the portal phase, the detection rate is high.