摘要
目的 :探讨螺旋CT双期扫描对胰腺癌可切除性评估的价值。方法 :对 4 1例CT诊断胰腺癌患者与手术及病理结果对照 ,并回顾性分析胰腺肿瘤导致胰周器官侵犯时手术切除的可能性。结果 :手术及病理证实 37例为胰腺癌 ,手术切除 14例 ,其中胰头癌 7例 (包括 1例胆管远端癌 ) ,体尾癌 7例。所切除的 14例中有Ⅰ期 8例 ,Ⅱ期 3例 ,Ⅲ期 2例 ,Ⅳ期 1例。即 7例中存在不同程度的周围器官侵犯和转移。结论 :①对手术切除性评估不能局限于肿块大小和周围器官是否侵犯 ,而应根据肿瘤生长部位 ,形态具体分析 ;②螺旋CT双期扫描对胰腺癌诊断准确性高 ,但胰头癌与壶腹部癌及胰头慢性炎症的鉴别有时仍存在一定困难。
Objective:To inqure dual-phase s piral CT scanning in assessing the value of the resectability of pancreatic can cer.Methods:Contrasting the result with the ope ration and pathology of the 41 pancreatic cancer patients who diagnosed on spira l ct.To review analyse the respectability and the limit of the pancretic cancer when it invaded peripancreatic organ.Results:Of total 41 cases 37 pancretic cancer w ere confirmed on operation and pathology operation resect cases.among them,7 cas es were the cancer of head of pancreas,7 cases were the cancer of body and tail of pancreas.Conclusion:①When assess the respectability of pancreatic cancer ought to according to the cancer's position and character not to asses rigidly on it's big or small and whether invadihg the peripancretic org an;②Spiral ct scanning can assess accruately the invading of peripancretic orga ns;③Sometimes it is difficulty to distinguish the pancretic cancer from chroric pancreatitis and periampullary adenocarcinoma.
出处
《医学影像学杂志》
2004年第10期821-823,共3页
Journal of Medical Imaging
