十二指肠降部螺旋CT表现在壶腹周围癌诊断中的价值.pdfVIP

中国C T 和M R I 杂志 2 00 5 年7 月第3 卷第3 期 Spiral CT imaging of descending part of duodenum: role in diagnosis of peri-ampullaris 论 著 carcinoma 十二指肠降部螺旋 ZHANG Shu-sheng, CHEN Guo-dong, MENG Jian-chao.Department of Radiology, CT表现在壶腹周 Liaohe Oil-field Central Hospital, Liaoning 124010, China 围癌诊断中的价值 [Abstract] Objective To probe role of spiral CT in diagnosis of peri-ampullaris carcinoma by imaging descending part of duedenum. Methods Clinical and image data of 54 cases suffering peri-ampullaris carcinoma were retrospectively analyzed. The confirmed diagnosis was with surgical pathological method. Results 21 cases were 辽宁省辽河油田中心医院 choledochal cancer. 20 were protoduodenum cancer, 13 were prime pancreatic cancer. 放射科　张树生　陈国栋　孟建超 15 showed crossing double-ring (27.8%), 18 were inscribed solid ring (33.3%), and 5 河北省任丘市华北油田总医院 were concentric double ring (9.3%). Conclusion Spiral CT is highly effective for 放射科　迟红卫 early diagnosis of peri-ampullaris carcinoma with an anatomic and positioning usefulness. [Key words] descending part of duodenum, peri-ampullaris carcinoma, CT, X-ray computed 【摘要】目的 探讨十二指肠降部螺 旋CT表现在壶腹周围癌诊断中的价值。 壶腹周围癌指发生于胆总管下端、主胰管下端与十二指肠乳头及其周 方法 回顾性分析我院螺旋CT诊断后 经手术病理证实的壶腹周围癌54例患 围邻近区域的癌肿，有人称其为胆胰管十二指肠连接区癌，组织学上以 [1] 者的临床和CT影像资料。 结果 54例 腺癌和乳头状腺癌为主，粘液癌占极少数 。治疗上，胆总管癌和十二指 中，胆总管癌21例，十二指肠乳头癌20 肠乳头癌手术切除率高，占60%～70%，胰腺癌的手术切除率低，占5%～ [2] 例，主胰管癌 13例。CT见十二指肠降 25%。因此明确壶腹周围癌解剖学诊断及病理学来源对手术治疗的选择 部有相交双环表