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目的:了解CT、B超对胰腺癌手术不可切除因素显示的准确率。方法:总结CT、B超提示有不可切除因素存在的胰腺癌病人,在解除胆道梗阻或埋管化疗手术时,将术中所见不可切除因素与前者对比。结果:CT快速大剂量增强扫描对胰周大血管受侵粘连显示的符合率为100％,综合胰周其它组织的粘连、浸润及转移,总的符合率为97.6％,B超分别是82.4％和92.8％。结论:CT、B超能准确显示胰腺癌的不可切除因素,对其外科治疗有重要指导意义。并认为只要CT、B超其一提示有不可切除因素存在,尤其是CT提示有胰周血管受侵或严重粘连时,临床就应该予以高度重视,甚全放弃手术切除。
Objective: To understand the accuracy of CT and B-ultrasound for unresectable factors in pancreatic cancer surgery. Methods: Summarize CT and B-mode ultrasound in patients with pancreatic cancer who have unresectable factors. When relieving biliary obstruction or buried chemotherapy, compare the unremovable factors seen in the operation with the former. RESULTS: The coincidence rate of rapid large-dose CT scan for pancreatic perivascular invasion was 100%. The adhesion, invasion, and metastasis of other tissues around the pancreas was 97.6%. The B-ultrasound was 82.4%. And 92.8%. Conclusion: CT and B ultrasound can accurately display the unresectable factors of pancreatic cancer and have important guiding significance for surgical treatment. And think that as long as the CT, B ultrasound prompts the presence of unremovable factors, especially CT suggests that there is invasion of the peripancreatic vascular or severe adhesion, the clinical should be highly valued, and even give up surgical resection.