潘晶晶,潘春树,叶慧义.胰腺癌手术可切除性的术前CT及MRI评估[J].肿瘤学杂志,2015,21(10):799-803.
胰腺癌手术可切除性的术前CT及MRI评估
Application of CT and MRI in Predicting Resectable Pancreatic Carcinoma
投稿时间:2015-03-16  
DOI:10.11735/j.issn.1671-170X.2015.10.B004
中文关键词:  胰腺肿瘤  可切除性  体层摄影术,X线计算机  磁共振成像
英文关键词:pancreatic neoplasms  resectability  computer tomography,X-ray  magnetic resonance imaging
基金项目:
作者单位
潘晶晶 北京第二炮兵总医院 
潘春树 北京第二炮兵总医院 
叶慧义 北京解放军总医院 
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中文摘要:
      摘 要:[目的] 评价CT和MRI术前判断胰腺癌手术可切除性的应用价值。[方法] 回顾性分析经病理证实的40例胰腺癌的CT和MRI征象,包括肿瘤大小、边界、血管侵犯、淋巴结转移及远处转移,并与手术及病理对照。[结果] 术前影像学显示肿瘤大小平均4.5cm,边界清晰18例,血管受累不可切除26例,淋巴结转移21例,肝脏转移8例,腹膜及远处转移6例。术前影像学对于血管可切除性、淋巴结转移诊断的灵敏度、特异性、准确率分别为76.9%、40.7%、52.5%和70.0%、65.0%、67.5%。手术可切除组和不可切除组肿瘤大小(P=0.546)和肿瘤边界(P=0.053)没有统计学差异。[结论] CT和MRI是评估胰腺癌可切除性的有效方法。
英文摘要:
      Abstract:[Purpose] To investigate the application of CT and MRI in predicting resectability of pancreatic adenocarcinoma.[Methods] The CT and MRI findings of 40 patients with pancreatic adenocarcinoma were retrospectively analyzed,including mass diameter,boundary,vessel involvement,metastatic lymph nodes and distance metastasis.[Results] The mean diameter of the tumors was 4.5cm. The number of the cases with clear boundary,vessel involvement,metastastic lymph nodes and distance metastasis were 18,26,21,8 and 6 respectively. The sensitivity,specificity and accuracy of vessel involvement,metastatic lymph nodes were 76.9%,40.7%,52.5% and 70.0%,65.0% and 67.5% respectively. No difference was detected between the resectable and unresectabel group in mass diameter(P=0.546) and boundary(P=0.053). [Conclusion] CT and MRI are effective methods in predicting the resectability of pancreatic carcinoma.
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