超声内镜联合CT血管成像技术在胰十二指肠切除术前评估中的应用  

Application of ultrasonic endoscopy combined with CT angiography in preoperative evaluation of pancreatoduodenectomy

作　　者：别玉坤[1] 杨成林[1] 贺永锋[1] 李正军[1] BIE Yukun;YANG Chenglin;HE Yongfeng;LI Zhengjun(Department of General Surgery,Ankang Municipal Central Hospital,Ankang,Shaanxi 725000,China)

机构地区：[1]陕西省安康市中心医院普外科,陕西安康725000

出　　处：《检验医学与临床》2020年第20期2951-2953,共3页Laboratory Medicine and Clinic

基　　金：陕西省安康市科学技术研究发展项目(2018AK03-14)。

摘　　要：目的分析超声内镜联合CT血管成像技术在胰十二指肠切除术前评估中的价值。方法选择该院2016年12月至2018年12月行胰十二指肠切除术的80例胰头癌患者,按照随机数字表法将其分为对照组和试验组,每组40例。对照组采用CT血管成像技术进行术前评估,试验组采用超声内镜联合CT血管成像技术进行术前评估,对比两组的切除后显微镜下无残留率(R0切除率)、并发症发生率。结果对照组R0切除率为77.5%(31/40),并发症发生率为20.0%(8/40);试验组R0切除率为97.5%(39/40),并发症发生率为5.0%(2/40)。对照组与试验组各项数据比较,差异均有统计学意义(P<0.05)。结论超声内镜联合CT血管成像技术在胰十二指肠切除术前评估中的应用效果显著。Objective To analyze the preoperative evaluation value of ultrasonic endoscopy combined with CT angiography in pancreatoduodenectomy.Methods Eighty patients with pancreatic head cancer undergoing pancreatoduodenectomy in this hospital from December 2016 to December 2018 were selected and divided into the control group and experimental group according to the random number table method,40 cases in each group.The control group adopted the CT angiographic technique to conduct the preoperative evaluation,while the experimental group adopted the ultrasonic endoscopy combined with CT angiography to conduct the preoperative evaluation.The no residual rate(R0 resection rate)under microscope,and incidence rate of complications were compared between the two groups.Results The resection rate of R0 in the control group was 77.5%(31/40),and the incidence rate of complications was 20.0%(8/40);which in the experimental group were 97.5%(39/40)and 5.0%(2/40)respectively,and the differences between the control group and experimental group were statistically significant(P<0.05).Conclusion The ultrasonic endoscopy combined with CT angiography has a significant application effect in the preoperative evaluation of pancreatoduodenectomy.

关 键 词：超声内镜 CT血管成像 胰十二指肠切除术 胰头癌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]