中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
1期
94-97
,共4页
多层螺旋CT%胰周血管成像%胰腺癌%可切除性%评估
多層螺鏇CT%胰週血管成像%胰腺癌%可切除性%評估
다층라선CT%이주혈관성상%이선암%가절제성%평고
Multislice CT%Peripancreatic vascular imaging%Pancreatic cancer%Excision%Assessment
目的：探讨多层螺旋CT胰周血管成像对胰腺癌可切除性评估的应用情况。方法分析重庆市合川区人民医院2010年2月~2014年3月收治的60例胰腺癌患者临床资料，均采用螺旋CT扫描与手术对照。观察胰腺血管侵犯Loyer分型、胰腺周围主要动脉和静脉受侵犯分级情况。结果螺旋CT评估胰腺血管侵犯Loyer分型可切除血管206支，不可切除血管74支；螺旋CT评估胰腺周围主要动脉受侵犯分级可切除动脉157支，不可切除11支；螺旋CT评估胰腺周围主要静脉受侵犯分级可切除静脉69支，不可切除43支；螺旋CT评估Loyer分型可切除准确率为71.0%(199/280)，血管受侵犯分级可切除准确率为77.8%(218/280)。结论多层螺旋CT在胰腺癌血管侵犯的可切除性评估中起着重要的补充作用，在胰腺癌血管侵犯多层螺旋CT评估中对动、静脉评判标准要有所区别，才能提高评估的准确性。
目的：探討多層螺鏇CT胰週血管成像對胰腺癌可切除性評估的應用情況。方法分析重慶市閤川區人民醫院2010年2月~2014年3月收治的60例胰腺癌患者臨床資料，均採用螺鏇CT掃描與手術對照。觀察胰腺血管侵犯Loyer分型、胰腺週圍主要動脈和靜脈受侵犯分級情況。結果螺鏇CT評估胰腺血管侵犯Loyer分型可切除血管206支，不可切除血管74支；螺鏇CT評估胰腺週圍主要動脈受侵犯分級可切除動脈157支，不可切除11支；螺鏇CT評估胰腺週圍主要靜脈受侵犯分級可切除靜脈69支，不可切除43支；螺鏇CT評估Loyer分型可切除準確率為71.0%(199/280)，血管受侵犯分級可切除準確率為77.8%(218/280)。結論多層螺鏇CT在胰腺癌血管侵犯的可切除性評估中起著重要的補充作用，在胰腺癌血管侵犯多層螺鏇CT評估中對動、靜脈評判標準要有所區彆，纔能提高評估的準確性。
목적：탐토다층라선CT이주혈관성상대이선암가절제성평고적응용정황。방법분석중경시합천구인민의원2010년2월~2014년3월수치적60례이선암환자림상자료，균채용라선CT소묘여수술대조。관찰이선혈관침범Loyer분형、이선주위주요동맥화정맥수침범분급정황。결과라선CT평고이선혈관침범Loyer분형가절제혈관206지，불가절제혈관74지；라선CT평고이선주위주요동맥수침범분급가절제동맥157지，불가절제11지；라선CT평고이선주위주요정맥수침범분급가절제정맥69지，불가절제43지；라선CT평고Loyer분형가절제준학솔위71.0%(199/280)，혈관수침범분급가절제준학솔위77.8%(218/280)。결론다층라선CT재이선암혈관침범적가절제성평고중기착중요적보충작용，재이선암혈관침범다층라선CT평고중대동、정맥평판표준요유소구별，재능제고평고적준학성。
Objective To discuss the application of multislice CT peripancreatic vascular imaging for assessment of pancreatic cancer excision. Methods The clinical data of 60 cases of patients with pancreatic cancer in People's Hos-pital of Hechuan District in Chongqing City from February 2010 to March 2014 were analyzed. All patients were given multislice CT scan and confirmed by surgery. The vascular invasion Loyer classification, degree of arterial invasion and intravenous invasion around the pancreas were observed. Results Multislice CT assessed pancreatic vascular invasion Loyer classification of excision blood vessels were 206 branches, non-excision blood vessels were 74 branches. Multi-slice CT assessed degree of arterial invasion around the pancreas of excision blood vessels were 157 branches, non-ex-cision blood vessels were 11 branches. Multislice CT assessed degree of intravenous invasion around the pancreas of excision blood vessels were 69 branches, non-excision blood vessels were 43 branches. The excision accuracy of Loyer classification assessed by multislice CT was 71.0% (199/280), which of vascular invasion degree around the pancreas was 77.8% (218/280). Conclusion Multislice CT plays an important complementary role in assessment of pancreatic cancer vascular invasion excision. Multislice CT assessment of pancreatic cancer vascular invasion should distinguish arterial and intravenous judgment criteria, which can improve the accuracy of the assessment.
