期刊文献+

影像学检查对壶腹周围癌诊断价值的临床研究 被引量:3

Evaluation of imaging examinations in the diagnosis of periampullary carcinoma
原文传递
导出
摘要 目的评价各种检查手段对壶腹周围癌的诊断价值,帮助临床医师合理地选择检查方法。方法对胰头及壶腹周围癌患者34例施行二维超声(Bus)、彩色多普勒超声(CDI)、内镜超声(EUS)、逆行性胆胰管造影(ERCP)、电子计算机断层扫描(CT)、核磁共振显像(MRI)、血管造影(Angio)及术中超声(OUS)检查,比较它们的诊断效能。结果除Angio的诊断符合率不足50%外,Bus与CDI,CT,MRI的诊断符合率相当,约80%(27/34),EUS,OUS,ERCP的诊断率均达90%(32/34)以上,检出全部直径大于和等于2cm的癌灶。直径小于2cm的癌灶10例,EUS及OUS均检出8/10例,ERCP在加用活体组织检查后全部检出,Bus、CDI、CT、MRI分别检出3例、3例、2例、4例,Angio则无检出病例。结论EUS和ERCP是目前检测微小癌灶最有效的方法,Bus因方便经济可做为首选的检查手段。 Objective We evaluate the diagnostic value of imaging examinations for patients with periampullary carcinoma.Methods In this study 34 patients suspected to have sufferred from periampullary carcinoma underwent B mode ultrasonography(B us),color doppler imaging (CDI), endoscopic ultrasonography (EUS), ERCP, CT, MRI , Angiography and operative ultrasonography (OUS).Results The detective rates for tumors more than 2cm in diameter were 100% by all imaging methods except for angiography. The tumor detecting rates of EUS, OUS and ERCP were more than 90%(32/34),while of B us, CDI, CT and MRI were about 80%(27/34). Of 10 cases with tumors less than 2cm in diameter, EUS and OUS detected 8,respectively.ERCP plus biopcy detected all of the 10, B us and CDI detected 3,respectively. CT and MRI found 2 and 4 respectively,while none was detected by angiograpy.Conclusions Our study suggested that EUS and ERCP plus biopsy were the most sensitive methods for detecting small tumor, B us was the first choice for scanning the lesions and CDI was helpful in locating the tumor.
出处 《中华普通外科杂志》 CSCD 1999年第2期94-96,共3页 Chinese Journal of General Surgery
关键词 壶腹周围癌 影像学诊断 EUS ERCP Neoplasm,pancreatic Imaging Angiography
  • 引文网络
  • 相关文献

同被引文献16

引证文献3

二级引证文献9

;
使用帮助 返回顶部