目的 分析胆囊癌的影像表现， 并与手术病理对照研究，旨在提高早期胆 囊癌的检出率，选择并做出正确的影像诊 断。方法 回顾性分析 2012-2016年36 例 经过手术病理证实的胆囊癌患者的超声、 CT、MRI影像和临床资料。结果 肿块型 24例，胆囊壁增厚型 5例，腔内结节型 7 例，36例患者均行超声检查，其中17例行 CT检查，12例行MRI检查，胆囊癌早期检 出率仅为8.3%(3/36)。结论 早期胆囊癌 临床往往难以诊断，而主要依靠影像学确 诊。超声及MRI对腔内病变显示明显优于 CT，而合并周围脏器浸润的显示CT、MRI 较清晰，若分辨血管及肿大淋巴结则MRI 更为敏感。

Objective To analyze the imaging findings of gallbladder carcinoma, and compared with surgical pathology, in order to improve the detection rate of early gallbladder cancer, and make the correct choice of imaging diagnosis. Methods a retrospective analysis of 36 cases of 2012-2016 years after ultrasound, surgery and pathology of gallbladder carcinoma patients CT, MRI images and clinical data of the Results Mass type. 24 cases, 5 cases of gallbladder wall thickening type, nodular type in 7 cases, 36 cases were examined by ultrasonography, 17 cases underwent CT examination, MRI examination in 12 cases, gallbladder cancer early detection rate was only 8.3% (3/36) Conclusion Early gallbladder cancer clinical diagnosis is often difficult, but mainly rely on imaging diagnosis. Ultrasound and MRI to display cavity lesions than CT, and with the involvement of surrounding organs showed that CT, MRI is clear, if the resolution of vascular and lymph nodes, MRI is more sensitive.