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目的 使用双螺旋 CT评估胰腺癌可切除性的价值。方法 对临床怀疑患有胰腺癌的患者肿瘤可切除性进行前瞻性评估 ,最终有 42例进行外科手术治疗。对所有患者均进行双螺旋 CT扫描 ,分别获取血管相和肝脏最大强化相影像。结果 双螺旋 CT正确诊断胰腺癌 35 / 37(94% ) ,正确预测肿瘤不可切除性 19/ 2 2 (87% ) ,正确预测可切除性 13/ 15 (86 % ) ,CT发现肝脏转移 11/ 14(80 % )。淋巴结受累 6 / 12 (5 0 % ) ,血管受侵 18/ 19(90 % )。结论 使用双螺旋 CT可提高胰腺癌患者肿瘤可切除性的预测
Objective To assess the value of resectability of pancreatic cancer using double helical CT. Methods Prospective assessment of tumor resectability was performed in patients with clinical suspicion of pancreatic cancer and eventually 42 patients underwent surgical treatment. All patients underwent double helical CT scan, respectively, to obtain the largest phase of the blood vessels and liver enhanced phase images. Results The correct diagnosis of pancreatic cancer by double helical CT was 35/37 (94%), 19/22 (87%) correctly predicted the resectability, 13/15 (86%) correct resection, and liver metastases by CT were found in 11 / 14 (80%). Lymph node involvement 6/12 (50%), vascular invasion 18/19 (90%). Conclusion Double helical CT can improve the predictability of tumor resectability in patients with pancreatic cancer