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目的 :评价胆囊癌的超声诊断价值。方法 :对 6 1例胆囊癌的超声表现进行了回顾性研究。比较 CT、ERCP、超声和彩色多普勒对胆囊癌的诊断价值。结果 :术前超声 ,CT和 ERCP的诊断符合率分别为 80 .3% (49/6 1) ,88.5 % (2 3/ 2 6 )和 2 5 % (2 / 8)。结论 :CDFI在鉴别胆囊的良性或恶性肿瘤中有较高的准确性。疑似胆囊癌或有转移和进行临床分期时 ,CT较超声更有用。胆囊癌伴有黄疸的患者 ,ERCP主要以治疗为目的。
Objective: To evaluate the value of ultrasonic diagnosis of gallbladder cancer. Methods: Sixty-one cases of gallbladder carcinoma were retrospectively studied. Comparison of CT, ERCP, ultrasound and color Doppler in the diagnosis of gallbladder cancer. Results: The coincidence rates of preoperative ultrasound, CT and ERCP were 80.3% (49/6 1), 88.5% (23/26) and 25% (2/8), respectively. Conclusion: CDFI has high accuracy in differentiating gallbladder from benign or malignant tumors. CT is more useful than ultrasound in cases of suspected gallbladder cancer or metastases and clinical staging. Gallbladder cancer patients with jaundice, ERCP mainly for the purpose of treatment.