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目的探讨超声对胰腺癌的诊断价值及困扰超声检出早期胰腺癌的原因。方法对经手术及活检穿刺病理证实的52例胰腺癌的声像图进行回顾性分析。结果52例胰腺癌,超声诊断与病理诊断的符合率84.6%(44/52),胰腺癌早期得到诊治病例较少,所占比率7.7%(4/52)。结论超声对中晚期胰腺癌的诊断有很高的临床价值,对早期胰腺癌的诊断有一定难度,主要受患者就诊时间早晚、肿瘤生长位置、胃肠道气体干扰、患者体格肥胖、仪器分辨率及超声医生经验等多种因素制约,早期病例检出率有待进一步提高。
Objective To investigate the diagnostic value of ultrasonography in pancreatic cancer and the causes of the early detection of pancreatic cancer by ultrasonography. Methods 52 cases of pancreatic carcinoma confirmed by operation and biopsy were retrospectively analyzed. Results The coincidence rate of ultrasound diagnosis and pathological diagnosis was 84.6% (44/52) in 52 cases of pancreatic cancer. The early diagnosis and treatment of pancreatic cancer was less, accounting for 7.7% (4/52). Conclusion Ultrasound has a high clinical value in the diagnosis of advanced pancreatic cancer, and it is difficult to diagnose early pancreatic cancer. It is mainly affected by the time of treatment, location of tumor growth, gastrointestinal gas disturbance, physical obesity, instrument resolution And the experience of ultrasound doctors and other factors, early detection rate needs to be further improved.