术前CT评估胰头癌可切除性的意义.PDFVIP

主堡压厘处型苤查；!!!生；旦筮!!鲞筮；塑至垄垫』旦!P!!!垒i!i!型曼坠堡!坠!；!!!!y!!：!；!丛!：； ·论著· 术前CT评估胰头癌可切除性的意义 王巍袁祖荣 滑炎卿唐健雄涂彦渊 丁其勇 罗恩钊 【摘要】目的评价术前cT判别胰头癌可切除性的方法和标准，并评估其临床意义。方法 使用螺旋CT对24例胰头癌病人进行术前薄层多期扫描，将胰周血管受侵犯程度分为4级，结合周 围组织脏器的受累情况判断胰头癌的可切除性，并与手术结果相对照。结果24例胰头癌病人，术前 15例判别可切除，实际14例得到了根治性切除，阳性准确率达93．3％，阴性准确率达100％。结论利 用血管受侵犯程度分级，螺旋CT可以较准确的判别胰头癌的可切除性，具有重要的临床意义。 【关键词】胰腺肿瘤； X线计算机断层摄影术； 术前诊断 Val鹏ofheIicaI fbr eval岫ti蚰of h翰dcar_ compu慨It0Inographyp帕)p哪tive resec乜IbiI咐ofp锄cr翰tic cil瑚mWANGW反。，H从N Z矗“r0挖g，HU-AY＆，zq锄，甜aZ．+DP∞九m研￡o，＆咒8mZS“r驴删， H抛如咒PHDs声i缸Z，S砌，z砌i200040，P．R．吼i撇 ToassesstheⅦlueofhelical 【Abs协阻caobjective computedtonlography(H(’T)forpreopera— tiveevaluationof of headcarcinonla．MethodsHCT resectabilitypancreatic Preoperativescaming 、vas in24 with headcarcinonla．Thinsection scanscom— perfonnedpatientspancreatic three—phase of scansand scanswereobtained 3一mmcollimatedslices． posedplain artery—vein byusingcontiguous were onaO一3scalebasedoncircumferentialof Peripancreaticvesselsprospectivelygraded contiguity tumOrtO the Ot lnVaslOn vessels． L二omblnlngdegreecontlguousorgan together，thepreoperatlVepre— ofthetumorwas results、^陀rethen withthoseofCT dictionof rmde． resectability Surgical compared scaruling．R嚣ultsFifteenofthe24casesof headcarcinomawere tobe pancreatic judged potentially resectableonthebasisofHCT-Fburteenunderwentradicalresection．The patients judgingaccumcy of was93．3％．Cbncl鹏io璐 of ofCT preOperativeresectability Takingadvantagestrongpoint grades ofvascular of headcarcin