论文部分内容阅读
目的 对进展期胰腺癌血管浸润的程度、范围进行影像学评估及手术切除可行性判断并探讨其切除方法。方法 对经术前CT和MR/MRCP检查伴血管浸润的49例进展期胰腺癌进行影像学分析,根据临床及影像学特征确定手术指征,同时根据术中发现确定对受累血管的处理和手术方法。结果 49例伴血管浸润的进展期胰腺癌中,影像学评估无手术指征者6例,其余43例接受手术探查的病例中,施行肿瘤手术切除30例,切除率为69.8％,其中行血管切除者25例。结论 现代影像学技术有助于评估进展期胰腺癌血管浸润程度,对指导手术切除和术中受累血管处理方法有重要意义,改进手术方法有助于提高伴血管浸润的进展期胰腺癌的手术切除率。
Objective To assess the extent and extent of vascular invasion in advanced pancreatic cancer and to evaluate the feasibility and excision of this method. Methods 49 cases of advanced pancreatic adenocarcinoma with preoperative CT and MR / MRCP and infiltration of blood vessels were studied by imaging analysis. According to the clinical and imaging features, the operation indications were determined. At the same time, the treatment and operation method. Results Among the 49 cases of advanced pancreatic cancer with vascular invasion, 6 cases showed no surgical indications in imaging evaluation. Among the remaining 43 cases who underwent surgical exploration, 30 cases were performed surgical resection and the resection rate was 69.8% Excision in 25 cases. Conclusion The modern imaging technique can help assess the degree of vascular invasion in advanced pancreatic cancer and is of great significance in guiding the surgical resection and vascular treatment of intraoperative involvement. To improve the surgical method is helpful to improve the surgical resection of advanced pancreatic cancer with vascular invasion rate.