| 宛四海,傅森林,曾令国,李丛福,杨禹,王余力.Caroli病的CT诊断(附7例分析)[J].中国医学影像技术,2002,18(11):1133~1135 |
| Caroli病的CT诊断(附7例分析) |
| CT Diagnosis of Caroli Disease (Analysis of 7 Cases) |
| 投稿时间：2002-04-25 |
| DOI： |
| 中文关键词: Caroli病 诊断 断层摄影术,X线计算机 |
| 英文关键词:Caroli disease Diagnosis Tomography,X-ray computed |
| 基金项目: |
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| 摘要点击次数: 3302 |
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| 中文摘要: |
| 目的
探讨Caroli病的CT表现及诊断价值。方法 回顾性分析7例C
aroli病的临床和CT资料。结果 Caroli病Ⅰ型1例,CT表现为肝右叶近肝
门区肝内胆管呈囊状扩张,伴肝内胆管多发结石,无肝硬化、脾肿大和门脉高压。Caroli
病Ⅱ型6例,CT均表现为肝内多发低密度影,增强扫描后无强化,可以清晰显示扩张的肝内
胆管,呈囊状或柱状扩张,并沿胆管走行分布;均合并有肝硬化、脾肿大及门静脉侧支循环
开放,合并胆管结石5例、肝脓肿1例、腹水1例。结论 CT对Caroli病的诊
断及明确病变范围有重要价值。 |
| 英文摘要: |
| Purpose To study the CT manifestation and diagnostic value in
Caroli disease. Methods Clinical and CT findings in 7 cas
es of Caroli disease were retrospectively analyzed. Results One
wa
s simple type which CT findings of the liver showed saccular dilatation of the ri
ght lobe intrahepatic bile ducts and multiple intraductal calculus,there was no
evidence of cirrhosis,splenomegaly,or other findings of portal hypertension.
Six were periportal fibrosis type which transverse CT imaging of the liver showe
d multiple rounded or cylindrical hypodensity structures which were consistent w
ith the distribution of intrahepatic bile ducts by plain scanned and no enhanceme
nt on contrast material enhanced CT examination,and there were cirrhosi
s,hepatosplenomegaly and the opening of portal vein collateral pathway in all s
ix patients,accompanying with intraductal calculus (n＝5),acute hepatic abs
cesses (n＝1),and ascites (n＝1). Conclusion CT is a
valuable meth
od to establish the diagnosis and demonstrate the extent of Caroli disease. |
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