多层螺旋CT对胰腺癌的术前评估

Multi-slice Spiral CT for Preoperative Evaluation of Pancreatic Cancer

目的:探讨多层螺旋CT(MSCT)在胰腺癌的术前评估中的价值。方法:回顾分析经手术病理证实且MCST扫描资料完整的胰腺癌40例,参照胰腺癌可切除的标准来术前分析和术后对照。结果:40例胰腺癌患者中,CT判断可切除16例中,有12例行根治性切除术,有4例术前误判,CT判断正确率75%(12/16),2例术中发现腹膜转移CT未能发现,2例对肿瘤侵犯SMA的低估。CT判断不能切除24例,22例判断准确,CT判断正确率91.7%(22/24),其中1例CT误判是肿瘤对SMA受侵的过度评价,另1例肿瘤周围小静脉扩张CT误判为不能根治。结论:MSCT对胰腺癌术前可切除和不可切除的评估对临床有重要指导意义。

Objective：Explore the multi-slice CT （MSCT） in the preoperative evaluation of pancreatic cancer in value.Methods： Confirmed by surgery and pathology were analyzed retrospectively and the MCST scan data integrity of 40 cases of pancreatic cancer, pancreatic cancer resectability of reference standards to analyze preoperative and postoperative controLResults：40 cases of pancreatic cancer patients,CT to determine resectability of 16 patients,12 underwent radical resection,4 preoperative miscarriage ofjustieo,CT judicious rate was 75% （12/16）,two cases of intraoperative peritoneal found CT failed to find the transfer, and 2 cases of tumor invasion of the underestimation of SMA.CT judge unresectable 24 cases,22 cases to determine an accuratc,CT judicious rate was 91.7% （22/24）,of which 1 case CT misjudgment of tumor invasion of the over-evaluation of the SMA,and the other one cases of small veins around the tumor to expand CT miscarriage of justice which can not cure.Conelusion：MSCT of the pancreatic resection preoperative assessment of resectable and non-clinical important guiding significance.