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于1987～1990年Johns Hopskins医院对90例壶腹周围肿瘤引起梗阻性黄疸的病人进行内脏血管造影检查.计男性51例,女性39例,平均年龄60岁(21～86岁),组织学诊断多数为胰头腺癌.血管造影:62例血管造影无所见,其余28例血管造影所见提示有血管包裹或梗阻,前者较多见,静脉受侵比动脉常见.临床病程:90例血管造影无併发症,62例证实无大血管包裹或梗阻,其中42例剖腹确定可作胰十二指肠切除术.14例肿瘤不能切除,7例有肝转移.3例有腹腔种植,但肿瘤已侵犯横结肠系膜根部和肠系膜上动脉.3例血管造影结果正常,实为假阳性(5%),另1例剖腹探查发现胰腺淋巴瘤,不能切除.28例内脏血管造影证实血管包裹或梗阻,提示
In 1987 to 1990, Johns Hopskins Hospital performed splanchnic angiography on 90 patients with obstructive jaundice caused by periampullary neoplasms. There were 51 males and 39 females with a mean age of 60 years (21 to 86 years). Histological diagnosis was performed. Most of the pancreatic head adenocarcinoma. Angiography: 62 cases of angiography were not seen, the remaining 28 cases of angiography prompted vascular envelopment or obstruction, the former more common, intravenous invasion than common in arteries. Clinical course: 90 cases of blood vessels There were no complications in the angiography, 62 showed no evidence of large vessel envelopment or obstruction, and 42 cases of laparotomy were confirmed for pancreatoduodenectomy. Fourteen patients had unresectable tumors, seven had hepatic metastases, and three had abdominal implants. The tumor has invaded the transverse mesorectal root and superior mesenteric artery. In 3 cases, the angiographic result was normal, which was false positive (5%). The other case was found to be pancreatic lymphoma by laparotomy and could not be removed. 28 cases of splanchnic angiography confirmed vascular wrap or Obstruction, prompt