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59例梗阻性黄疸螺旋CT征象分析
引用本文:杜峰,李臻,周进学.59例梗阻性黄疸螺旋CT征象分析[J].河南职工医学院学报,2008,20(1):24-26.
作者姓名:杜峰  李臻  周进学
作者单位:1. 河南省肿瘤医院放射科,河南,郑州,450008;郑州大学基础医学院,河南,郑州,450052
2. 郑州大学第一附属医院放射科,河南,郑州,450052
3. 河南省肿瘤医院肝胆外科,河南,郑州,450008
摘    要:目的回顾性分析梗阻性黄疸的螺旋CT征象,以提高诊断准确率。方法收集59例梗阻性黄疸患者的影像学资料,结合病理进行分析。结果在所有梗阻因素中恶性黄疸占91.5%,CT表现为肝内胆管扩张、胆管呈“软藤征”、“鼠尾征”,胆总管多突然“截断”,梗阻部可见低密度肿块、结节,延迟强化明显,良性梗阻胆总管多渐进性狭窄。结论螺旋CT是临床诊断梗阻性黄疸的有效手段,恶性肿瘤是导致胆道梗阻的主要因素。

关 键 词:梗阻性黄疸  螺旋CT  恶性肿瘤
文章编号:1008-9276(2008)01-0024-03
修稿时间:2007年12月1日

Analysis of Spiral CT Manifestation in 59 Cases of Obstructive Jaundice
DU Feng,LI Zhen,ZHOU Jin-xue.Analysis of Spiral CT Manifestation in 59 Cases of Obstructive Jaundice[J].Journal of Henan Medical College For Staff and Workers,2008,20(1):24-26.
Authors:DU Feng  LI Zhen  ZHOU Jin-xue
Affiliation:DU Feng1,LI Zhen2,ZHOU Jin-xue3(1.Radiology Department of Henan Tumor Hospital,Basic Medicine School of Zhengzhou University 450008,China,2.Radiology Department of No.1 Affiliated Hospital to Zhengzhou University 450052,3.Surgical Department of Hepatobiliary of Henan Tumor Hospital 450008,China)
Abstract:Objective Spiral CT findings of obstructive jaundice were analyzed retrospectively so as to improve the accuracy of diagnosis.Methods The medical image materials on 59 cases of obstructive jaundice were collected and analyzed with pathology Method.Results Malignant jaundice took up 91.5% among all the obstructive factors.CT scan showed intrahepatic bile duct dilation,the intrahepatic duct showed as soft rattan sign or mouse tail sign,the common bile duct was mostly manifested interruption,low-density mass a...
Keywords:obstructive jaundice  spiral CT  malignant tumor  
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