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目的分析肝门部胆管癌使用64层螺旋CT血管造影(MSCT)联合阴性对比CT胆管造影(n CTC)判定肝门部胆管癌手术切除性。方法 58例肝门部胆管癌患者,术前应用MSCT联合n CTC分析肝门部胆管癌的可切除性,对比手术结果。结果 58例患者的术前CT Bismuth-Corlette各个分型和术后分型结果比较差异无统计学意义(P>0.05)。联合CT术前评估可切除36例,术中评估可切除34例,术前术中对比差异无统计学意义(P>0.05)。结论术前应用MSCT联合n CTC能够对肝门部胆管癌浸润的血管及胆管的程度做到良好的评估,为临床治疗做出指导,值得推广应用。
Objective To analyze the surgical resectability of hilar cholangiocarcinoma using 64-slice spiral CT angiography (MSCT) and negative contrast CT cholangiography (n CTC) in hilar cholangiocarcinoma. Methods Fifty-eight patients with hilar cholangiocarcinoma were studied. The resectability of hilar cholangiocarcinoma was analyzed preoperatively using MSCT combined with nCTC. The operative results were compared. Results 58 cases of patients with preoperative CT Bismuth-Corlette various types and postoperative classification results showed no significant difference (P> 0.05). Thirty-six cases were resected before surgery and 34 cases were resected during operation. There was no significant difference between the two groups (P> 0.05). Conclusions The preoperative application of MSCT combined with nCTC can evaluate the extent of infiltration of the hilar cholangiocarcinoma and bile duct, and provide guidance for clinical treatment. It is worth to be popularized and applied.