黄色肉芽肿性胆囊炎与厚壁型胆囊癌的螺旋CT鉴别诊断

发布时间：2018-05-15 00:30

本文选题：胆囊炎 + 黄色肉芽肿　；参考：《临床放射学杂志》2015年01期

【摘要】：目的比较黄色肉芽肿性胆囊炎(XGC)和厚壁型胆囊癌(GBC)的螺旋CT特点,旨在提高两者鉴别诊断中的准确率。方法搜集临床或病理确诊的22例XGC和25例GBC的临床和螺旋CT资料进行对照研究。结果CT征象对照中,胆囊壁内低密度结节、胆囊壁内黏膜线完整情况以及胆道梗阻情况、淋巴结肿大等差异有显著统计学意义(P=0.000,0.002,0.010,0.031),而胆囊壁最大厚度,厚壁范围、强化方式、强化程度、邻近肝脏浸润、合并胆囊、胆管结石以及周围脂肪间隙清晰征象差异无显著统计学意义(P=0.826,0.595,0.820,0.064,0.798,0.062,0.110)。结论增厚的胆囊壁内低密度结节和完整的胆囊内壁黏膜线是诊断XGC较具特征性CT表现,胆囊壁内低密度结节具有很高的敏感性和准确度,有利于两者的鉴别。
[Abstract]:Objective to compare the spiral CT features of xanthogranulomatous cholecystitis (XGC) and thick-walled gallbladder carcinoma (GBC) in order to improve the accuracy of differential diagnosis. Methods the clinical and spiral CT data of 22 cases of XGC and 25 cases of GBC were collected and compared. Results in contrast with CT signs, there were significant differences in low density nodule, intact mucosal line and obstruction of biliary tract, and lymph node enlargement in the gallbladder wall, while the maximum thickness of gallbladder wall, the range of thick wall, and the enhancement mode were significantly different from those of P0. 000 ~ 0. 002 ~ 0. 010 ~ 0. 010 ~ 0. 031%. There was no significant difference in enhancement degree, adjacent liver infiltration, cholecystolithiasis, cholelithiasis and the clear sign of periadipose space. Conclusion thickened low-density nodules in the wall of the gallbladder and intact mucosal lines of the inner wall of the gallbladder are the characteristic CT findings of XGC. The low density nodules in the wall of the gallbladder have high sensitivity and accuracy, which is helpful for the differential diagnosis between the two.
【作者单位】：江苏大学附属昆山医院放射科;常州市第一人民医院放射科;
【基金】：苏州市2012年度科技发展计划(应用基础研究-医疗卫生)项目(编号:SYSD2012025)
【分类号】：R735.8;R730.44;R575.61

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