胰头癌的超声诊断与临床分析

Ultrasonic diagnosis and clinical analysis of carcinoma of pancreatic head

目的 评价胰头癌的超声诊断并进行临床分析。方法 超声检查51例胰头癌,对其临床资料统计分析。结果 胰头癌好发于中年人,男性多于女性。B超诊断准确率为87.9％。症状主要为上腹部疼痛不适、黄疸、纳差、消瘦、乏力、恶心、呕吐及肿瘤转移至胰头邻近器官的相应症状。CA19-9、CA50和CEA可升高。结论 紧密结合临床、熟练操作技法和丰富经验是提高胰头癌超声诊断准确率的有效途径。

Purpose To evluate the ultrasonic diagnosis and clinical anlysis of carcinoma of the pancreatic head. Methods Fifty-one patients with carcinoma of the pancreatic head were detected by ultrasonography and then retrospective study of the clinical data of them. Results Carcinoma of the pancreatic head usually presents in the middle age and more in male than in female. The diagnostic accurate rate of B-mode ultrasound was 87.9%. Its major clinical presentation hadepigastric pain, jaundice, a poor appetite, emaciation, weakness, nausea, vomiting and other correlative symptoms as the cancer cells transferits adjacent organs. The serums level of CA19 - 9,CA50,and CEA may bearased Conclusion It is a valuabe way of improving the accurate rate of ultrasonic diagnosis to integrate closely skillful operation and rich experience with clinical presentation.