摘要
目的:了解CT、B超对胰腺癌手术不可切除因素显示的准确率。方法:总结CT、B超提示有不可切除因素存在的胰腺癌病人,在解除胆道梗阻或埋管化疗手术时,将术中所见不可切除因素与前者对比。结果:CT快速大剂量增强扫描对胰周大血管受侵粘连显示的符合率为100％,综合胰周其它组织的粘连、浸润及转移,总的符合率为97.6％,B超分别是82.4％和92.8％。结论:CT、B超能准确显示胰腺癌的不可切除因素,对其外科治疗有重要指导意义。并认为只要CT、B超其一提示有不可切除因素存在,尤其是CT提示有胰周血管受侵或严重粘连时,临床就应该予以高度重视,甚全放弃手术切除。
Objective: To realise the accuracity of the factors influencing the resectability of pancreatic carcinoma shown by CT, B - us. Ma-tenals and Methods: 42 cases of pancreatic carcinoma were diagnosed by CT and/or B - us, and were shown some factors influencing resectability of mass. They all accepted operation in order whether to relieve the obstruction or to embush the tube for chemical - therapy. while the factors above were verified. We camparied these factors. Results: the accuracity of showing the big blood vessels affected by the mass by CT was 100% , added the showing of adhesion about tissues or organs near the mass, and the transference of abdomen, the total accuracity was 97.6%. ,B- us was 82.4% and 92 8% respectively. Conclusion: CT and B- us can show accuratly the factors influencing the resectability of pancreatic carcinoma. They were very useful to surgeon and patient. And if only one of these factors was shown by CT and/or B/us, especially when invaded of adhered big blood vessels near the mass were shown by CT, surgeon should alert or discard the therapy of resection by operation.
出处
《河南外科学杂志》
1999年第2期122-123,共2页
Henan Journal of Surgery
