选择性动脉造影与CT检查在胰腺癌术前分期中的作用  

The role of selective angiography and CT scan in preoperative staging of pancreatic carcinoma

作　　者：杨宁[1] 刘巍[1] 任安[1] 金征宇[1] 牟文斌[1] 朱杰敏[1] 张涛[1] 赵荣国[1] 赵玉祥[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院放射科,100730

出　　处：《介入放射学杂志》2000年第1期19-21,共3页Journal of Interventional Radiology

摘　　要：目的　回顾分析６８ 例确诊胰腺癌患者的术前血管造影和ＣＴ 改变，对照手术探查结果，探讨血管造影及ＣＴ检查在胰腺癌术前分期中的意义。方法　８６ 例胰腺癌患者，手术探查前均行选择性动脉造影检查和ＣＴ检查，将检查结果与手术探查结果进行分析比较。结果　血管造影及ＣＴ 的术前分期与手术探查比较符合率分别为７９．４１ ％ 和６０ ．２９ ％ ，两者结合符合率达８８．２３ ％ 。结论　选择性动脉造影结合ＣＴ 扫描可比较准确地进行胰腺癌术前分期，并有效判断胰腺癌的可切除性。Objective The results of preoperative selective angiography and CT scan compared with the results of laparotomies were analyzed retrospectively in 68 patients with pancreatic carcinoma. The significance of selective angiography and CT scan in preoperative staging of pancreatic carcinoma was discussed. Methods Both selective angiography and CT scan were taken place in all of 68 patients with pancreatic carcinoma before exploration. The results preoperative angiography and CT scan compared with explore surgery were analyzed. Results Angiography and CT had a 79.4% and 60.29% accuracy, respectively for assessing the resectability of pancreatic tumour; combined together they had a accuracy of 88.23%. Conclusions The accuracy for preoperative staging of pancreatic carcinoma will be improved when angiogaphy combined with CT scan were undertaken.

关 键 词：胰腺癌 选择性动脉造影 CT 术前分期 

分 类 号：R735.9[医药卫生—肿瘤]