螺旋CT双期增强扫描在胰腺癌诊断中的应用分析  

Application of Double Phase Enhanced CT Scan in Diagnosis of Pancreatic Cancer

作　　者：赵月霞 

机构地区：[1]山东省定陶县人民医院,274000

出　　处：《中国卫生标准管理》2015年第23期178-180,共3页China Health Standard Management

摘　　要：目的探讨螺旋CT双期增强扫描在胰腺癌诊断中的应用价值。方法以我院收治的62例胰腺癌患者作为本次的研究对象,所有研究对象均行螺旋CT双期增强扫描,以CT征象为依据评价肿瘤的可切除性,并和手术结果进行对比。结果本组62例研究对象中38例肿瘤部位为胰头颈部,18例为钩突部,6例为体部。其中6例研究对象有小胰腺癌,其直径全部小于20 mm。肿瘤-胰腺比较胰腺期及门脉期有统计学意义(P<0.05)。52例研究对象为不可切除胰腺癌,其中胰周大血管受侵32例,占61.5%,胰周小静脉迂曲16例,占30.8%。结论将螺旋CT双期增强扫描应用于胰腺癌的诊断中具有较高的价值,其对提高胰腺癌侵犯周围血管判断的准确性及胰腺癌可切除性的评估有重要的作用。ObjectiveTo investigate the application value of spiral CT dual phase enhanced scanning in the diagnosis of pancreatic cancer.Methods In ourhospital 62 cases of pancreatic cancer patients as the object of study, al subjects underwent spiral CT dual phase enhanced scan, evaluate the tumor resectability and and surgical results were compared according to CT findings.Results In this group of 62 cases, 38 cases of tumor location were head of pancreas, 18 cases of the hook process, 6 case of body part. Among the 6 cases, there were smal pancreatic cancer, which was less than 20mm in diameter. There was significant tumor pancreas between pancreatic phase and portal venous phase （P 〈 0.05）. Study of 52 cases for unresectable pancreatic cancer,which peripancreatic vascular invasion in 32 cases, accounting for 61.5%, 16 cases of pancreatic week smal venous tortuosity and 30.8%.Conclusion Spiral CT dual phase enhanced scanning in the diagnosis of pancreatic cancer with high value, which to improve pancreatic carcinoma invading peripheral vascular judgment accuracy and pancreatic cancer resection of evaluation have an important role.

关 键 词：螺旋CT 双期增强扫描 胰腺癌 

分 类 号：R735.9[医药卫生—肿瘤]