选择性血管造影在胰腺癌诊断中的价值  

Value of Selective Angiography in Diagnosis of Pancreatic Carcinoma

作　　者：邱怀明[1] 曾晓华[1] 闫小纺[1] 乔英[1] 

机构地区：[1]广州军区武汉总医院放射科,武汉430070

出　　处：《华南国防医学杂志》2008年第5期43-45,共3页Military Medical Journal of South China

摘　　要：目的探讨选择性血管造影在胰腺癌诊断中的价值。方法56例胰腺癌肝脏转移患者,男41例,女15例。血管造影前经CT诊断为胰腺癌肝脏转移38例;诊断为原发性肝癌18例。其中16例同时接受了MRI检查,1例行PET检查。全部病例都经股动脉穿刺插管行腹腔动脉造影,发现胰腺动脉异常改变者再行胰腺动脉造影。结果18例造影前诊断为原发性肝癌的患者造影后均诊断为胰腺癌肝脏转移,经临床随访后全部得到证实。其余病例均可见病变区胰腺动脉的狭窄、闭塞等异常改变,以及周围大血管和回流静脉的侵蚀改变。结论血管造影可对胰腺癌进行定性及定位诊断,尤其是CT和(或)MRI检查未能明确者,DSA可提高其检出率。对胰腺癌分期亦可提供客观的依据。Objective To discuss the value of selective angiography in diagnosis of pancreatic carcinoma.Methods The angiographic findings of 56 cases of hepatic metastasis of pancreatic carcinoma were retrospectively analyzed. CT demonstrated pancreatic carcinoma had metastasized to the liver in 38 cases and primary liver cancer in 18 cases. Of all cases, MRI was performed in 16 cases and PET in 1 case. All cases had undergone celiac arteriography via femoral artery to observe pancreatic arteries.Results Eighteen cases previously diagnosed as primary liver cancer were manifested as hepatic metastasis of pancreatic carcinoma on angiogram and confirmed in clinical follow-up. Stenosis and obstruction of pancreatic arteries were found in affected region in the other cases, while the eroded big vessels near the lesion were seen.Conclusion Angiography is very helpful in definite diagnosis of pancreatic carcinoma and its localization, especially for those unidentified by CT or MRI. DSA can improve the detection rate of pancreatic carcinoma and supply the objective proof for the classification of pancreatic carcinoma.

关 键 词：胰腺癌 诊断 DSA 

分 类 号：R675.52[医药卫生—外科学]