术前影像学检查评估胰腺肿瘤可切除性的价值  

The preoperative imaging evaluation of resectability in patients with pancreatic neoplasms.

作　　者：朱云祥[1,2] 陈晚平[1] 熊理[1] 叶启发[1] 

机构地区：[1]中南大学湘雅医学院附三医院,湖南长沙410013 [2]扬州大学医学院附属扬州市第一人民医院普外科

出　　处：《胰腺病学》2007年第4期220-222,共3页Chinese JOurnal of Pancreatology

摘　　要：目的探讨胰腺癌可切除性的术前评估。方法通过回顾性分析患者术前的CT、MRI、MRCP等影像学资料,对1990年6月至2006年6月间115例胰腺癌患者进行术前可切除性评估。结果本组115例,有29例术前判断为无法切除,86例可切除;术中实际行胰十二指肠切除术的病例为78例,未能手术切除的病例为37例。CT等影像学检查术前判断肿瘤可切除的阳性预测值为87.2%（75/86）,阴性预测值为89.7%（26/29）,准确性为87.8%（101/115）。结论胰腺癌术前可切除性判断,既可提高手术切除率,降低手术风险,减少术后并发症及病死率;同时可避免不必要的手术给患者带来的侵害,提高患者的生活质量。Objectives To analyze the preoperative imaging evaluation in patients with pancreatic cancer. Methods Retrospective analysis was conducted by reviewing computed tomography, MRI, MRCP information of 115 patients with pancreatic cancer in our hospital from 1995 to 2006. Results 115 patients were categorized as the unresectable group （29 patients） and respectable group （86 patients） preoperatively. 78 procedures of pancreaticoduodenectomy were performed, and the positive predictive value of the imaging methods such as CT was 87.2% （75/86）, the negative predictive value is 89.7% （26/29）, and the accuracy value was 87. 8% （101/115）. Conclusions The preoperative imaging assessment contributed not only to successful operations but also to the quality of lives of patients with pancreatic cancer by avoiding unnecessary operations.

关 键 词：胰腺肿瘤 可切除性 诊断显像 

分 类 号：R735[医药卫生—肿瘤] R730[医药卫生—临床医学]