86例胰腺癌的影像学诊断分析  

Imaging diagnosis on 86 patients with cancer of pancreas

作　　者：农明进[1] 

机构地区：[1]右江民族医学院附属医院CT室,广西百色533000

出　　处：《右江民族医学院学报》2002年第6期813-814,共2页Journal of Youjiang Medical University for Nationalities

摘　　要：目的　探讨胰腺癌各种影像学诊断的优势互补。方法　对 86例疑为胰腺癌的病例分别进行胃十二指肠钡剂造影检查、ERCP、US、CT及腹腔动脉造影 ,并进行对比。结果　US最敏感 ,但准确率有待进一步提高 ,占 5 4% ;CT诊断准确率高 ,占 87% ;腹腔动脉造影和ERCP检查方法有一定的难度。结论　胰腺癌的影像学诊断应首选US ,其次是CT ,不能确诊时再选用腹腔动脉造影或ERCP ,以提高胰腺癌诊断的准确率。Objective To explore the advantages of various imaging diagnostic methods on cancer of pancreas. Methods 86 patients doubted with cancer of pancreas were given the examination with gastroduodenal barium contrast radiography technique, ERCP, US, CT and angiography of celiac artery, and then the results were compared with each other. Results The best sensitivity was US, but the accuracy rate was only 54%, still needed to be further improved. The high accuracy was CT; the accuracy rate was 87%. The operation of celiac artery and ERCP had some difficulties. Conclusions US should be the first choice for imaging diagnosis on cancer of pancreas, the second one should be CT. When the diagnosis was uncertain, angiography of celiac artery and ERCP should be used to increase the accuracy rate of diagnosis.

关 键 词：胰腺癌 影像学诊断 CT 

分 类 号：R735.904[医药卫生—肿瘤]