摘要
目的 探讨胰头癌的早期诊断措施和各种影像学检查方法的合理应用。方法 对我院 1 998年 1月～ 2 0 0 2年 1 2月间 ,4 2例胰头癌患者的临床资料和诊治过程进行回顾性统计分析。 结果 所有病例均经剖腹手术和病理检查证实为胰头癌 ,92 .8%的患者出现上腹饱胀不适的时间早于黄疸 1～ 2月 ,胰头癌的 ERCP、MRCP、CT等检查的影像学特征明显。对其中1 6例患者行胰十二指肠切除术 ,手术切除率为 38.1 %。结论 重视胰头癌早期非特异性症状 ,及时行 B超检查。若 B超发现阳性征象 ,应进一步综合、有序地运用各种影像学检查方法 。
Objective To explore the methods of early diagnosis and rational imaging techniques for cancer of the head of pancreas.Methods The records of 42 patients(1998.1 2002.12) including their clinical characteristics and treatment methods were retrospectively analysed.Results All the cases were convinced to be cancer of the head of pancreas by surgical and pathological observation.92.8% of the cases had upper abdomical distension which was 1 to 2 months early than the appearance of jaundice.The imaging manifestations of ERCP、MRCP、CT on this disease were significant.Pancreati coduodenectomy(PD) was performed in 16 patients and its resection rate was 38.1%.Conclusion It is important to pay attention to the unspecific symptoms of the epigustrium and conduct Bus timely.If Bus finds positive phenomena,ERCP、MRCP、CT and the other imaging thechniques should be conducted approproately and comprehensively in order to discover the disease as early as possible.
出处
《肝胆外科杂志》
2003年第6期412-414,共3页
Journal of Hepatobiliary Surgery
关键词
胰头癌
诊断
影像学检查
carcinoma of the head of pancreas
diagnosis
pancreati coduodenectomy
imaging techniques
