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目的探讨多螺旋CT判断胰腺癌可切除性的方法和标准。方法使用螺旋CT对22例胰腺癌患者进行术前薄层多期扫描,将胰周重要血管受侵犯程度分为5级,结合周围组织脏器的受累情况判断胰腺癌的可切除性,并与手术结果相对照。结果22例中术前10例判断可切除,实际9例得到根治性切除,准确率达88.9%,不可切除的判断准确率达92.3%。结论根据血管受侵犯分级,多螺旋CT可以较准确的判断胰腺癌的可切除性,具有重要的临床意义。
Objective To investigate the method and standard of multi-spiral CT in evaluating the resectability of pancreatic cancer. Methods Twenty-two patients with pancreatic cancer underwent multi-slice thin-section scanning using spiral CT before operation. The degree of invasion of important peripancreatic vessels was divided into five grades. The resectability of pancreatic cancer was evaluated according to the involvement of surrounding organs. Surgical results compared with. Results Of the 22 cases, 10 cases were diagnosed as resectable before operation and 9 cases were treated by radical resection. The accuracy was 88.9%. The accuracy of unresectability was 92.3%. Conclusion According to the classification of vascular invasion, multi-spiral CT can be more accurately determine the resectability of pancreatic cancer, has important clinical significance.