摘 要：目的：探讨CT对肝内胆管癌和肝门胆管癌的大体分型诊断及临床意义。方法：回顾性分析32例肝内胆管癌和肝门胆管癌并与手术、病理结果进行对照分析。结果：参照日本肝癌组织提出的胆管癌的大体形态分型，对32例肝内胆管癌和肝门胆管癌进行CT分型分析。其中18例肝内胆管癌；周围型17 例、中央型1例。14例肝门胆管癌；浸润型7例、管内结节乳头型4例、外生肿块型3例。结论：SCT增强扫描能作出较为准确的大体形态分型诊断，为肿瘤可切除性的判断提供重要依据。

    关键词：胆管癌 X线计算机 分型

    Spiral CT of intrahepatic bile duct carcinoma,liver hepatis cholangiocarcinoma classification and clinical significance

    Abstract: Objective: to study the CT of intrahepatic bile duct carcinoma and portal cholangiocarcinoma general parting diagnosis and clinical significance. Methods: a retrospective analysis of 32 cases of intrahepatic bile ducts carcinoma and portal cholangiocarcinoma and operation and pathology, the comparison analysis. Results: refer to Japan liver tissue proposed cholangiocarcinoma general shape classification, 32 cases with intrahepatic bile duct carcinoma and portal cholangiocarcinoma on CT parting analysis. 18 cases of intrahepatic bile duct carcinoma; Peripheral 17 cases, central type 1 patients. 14 cases of liver door cholangiocarcinoma, Infiltrating type 7 cases, tube nodules nipple, 4 cases of mass type 3 cases, exogenous. Conclusion: SCT enhance scanning can make more accurate diagnosis, general form parting for resectable tumors provide important basis for judgement of sex. ......