| 薄层CT动态扫描在诊断胰腺癌侵犯血管中的价值 |
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| 引用本文： | 陈水泉,钟百书.薄层CT动态扫描在诊断胰腺癌侵犯血管中的价值[J].科技通报,1997,13(5):335-338. |
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| 作者姓名： | 陈水泉 钟百书 |
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| 作者单位： | 浙江医科大学附属第一医院放射科 |
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| 摘 要： | 探讨了胰腺癌血管受累的ＣＴ分型与肿瘤手术可切除性的关系．对４３例经手术、病理证实的胰腺癌进行薄层ＣＴ动态扫描，根据确定的ＣＴ标准，观察肿瘤与血管的关系，并与手术结果对照．发现胰腺癌血管受累以Ｃ型最常见，占３７．２％，Ａ型１０例，肿瘤切除率１００％（１０／１０），Ｂ型９例，切除率为７７．８％（７／９），Ｃ型、Ｄ型２４例，均不可切除．表明薄层ＣＴ动态扫描能提高胰腺癌血管受累的诊断正确率，血管受累ＣＴ分型对外科制定手术计划具有一定价值．
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| 关 键 词： | 胰腺癌 CT检查 胰周血管 |
Evaluation of Thin section Dynamic CT in Defermination of Vascular Involvement by Pancreatic Adenocarcinoma |
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| Chen Shuiquan,Zhong Baishu,Ruan Lingxiang,Zhang Xidao,Chen Lifei.Evaluation of Thin section Dynamic CT in Defermination of Vascular Involvement by Pancreatic Adenocarcinoma[J].Bulletin of Science and Technology,1997,13(5):335-338. |
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| Authors: | Chen Shuiquan Zhong Baishu Ruan Lingxiang Zhang Xidao Chen Lifei |
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| Institution: | Chen Shuiquan Zhong Baishu Ruan Lingxiang Zhang Xidao Chen Lifei Department of Radiology,the First Affiliated Hospital,ZheJiang Medical University 310003 |
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| Abstract: | The relationship of the CT classitication of the vascular involvement and resectability in pancreatic adenocarcinoma was studied. 43 cases of pancreatic adenocarcinoma verified surgically and pathelogically were investigated with thin section dynamic confrast enhauced CT.According to the defined CT criteria of vascular involvement by the tumor,the relationship between the tumor and the vessels was observed and correlated it with surgical findings.The results showed that type C vascular infiltration was the most common and was found in 16 of 43 patients (37.2%).Type A was found in 10 cases and were all resected with 100% resection rate.Type B was found in 9 cases and 7 cases were resected (77.8%).All lesions could not be resected with type C and type D.Thinsection dynamic CT improved the diagnosis of vascular invasion by pancreatic adenocarcinoma and the CT classification of peripancreatic vessels involvement.It also provided surgeons with useful information in surgery. |
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| Keywords: | pancreas neoplasm computed tomography peripancreatic vessel |
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