彩色多普勒血流显像估价胰腺壶腹病变可切除性

Color Doppler Flow Imaging in Assessment of the Resectability for Pancreato-ampullar Diseases

４５例胰腺壶腹病变术前应用彩色多普勒（ＣＤＦＩ）估价手术可切除性，４３例经手术病理证实。胰周血管明显受累及肝内转移为不可切除标准，在估价不能切除的２２例均无法切除，在判断能够手术的２１例中手术切除率为８５．７％。ＣＤＦＩ估价手术切除性总的符合率为９３％。本文结果表明ＣＤＰＩ在判断胰腺壶腹病变手术切除性方面有重要价值。并讨论了血管明显受累的阳性表现。

The resectability of 45 cases with pancreato-ampullar diseases was evaluated preoperatively with color Doppler flow imaging(CDFI).In 43,the situation was confirmed by surgery and pathology with obvious involvement of the peripancreatic vessels and/or liver metastases as the criteria for nonresectability.22 patients considered to be not resectable on the basis of CDFI were proved at surgery.While in 21 patients without sign of obvious involvement of peripancreatic vessels on CDFI,the resectability rate was 85.7%.The overall correlation rate of CDFI was 93%.It is concluded that CDFI plays a definite role in evaluating the resectability of pancreato-ampullar disease.The positive signs of vessel involvement are discussed.