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CT及ERCP在早期胰腺癌诊断中的应用价值
引用本文:王存强,高红.CT及ERCP在早期胰腺癌诊断中的应用价值[J].实用医技杂志,2004(6).
作者姓名:王存强  高红
作者单位:新乡市第一人民医院 新乡市第一人民医院 河南 新乡 河南 新乡
摘    要:目的:探讨早期胰腺癌CT及ERCP影像学的价值。方法:回顾分析经手术病理证实的早期胰腺癌的CT、ERCP特征,CT平扫及增强检查15例,ERCP检查10例,同时完成2项检查8例,结果:本组15例患者中,胰头癌11例,CT平扫及增强均示胰头形态、边缘、密度的改变,并对胆胰管扩张显示良好;2例无阳性发现(ERCP显示为阳性)。10例ERCP检查,均显示胰管闭塞、狭窄、破坏、以及胆总管扩张的改变。结论:CT、ERCP在早期胰腺癌的显示各有特点,两者结合应用,有助于诊断和鉴别诊断。

关 键 词:胰腺肿瘤  体层摄影术  X线计算机  胰胆管造影术  内窥镜

Value of CT and ERCP in the Diagnosis of Early Pancreatic Carcinoma
WANG Cun-qiang,GAO Hong.Value of CT and ERCP in the Diagnosis of Early Pancreatic Carcinoma[J].Journal of Practical Medical Techniques,2004(6).
Authors:WANG Cun-qiang  GAO Hong
Abstract:Objective To study the value of diagnostic imaging of CT and RECP in early pancreatic carcinomal (PC). Methods The imaging findings of CT and ERCP of 15 cases of early PC prived pathologically were retrospectively analyzed.all were examined by CT.10 by ERCP. Results 11 cases of PC of the head were presented by CT.with irregular contour or bulging,area of low density,dilated bile duct. lOcases of PC were examined by ERCP, with obstruction, stenosis, displacement of pancreatic duct. Conclusion CT and ERCP have their advantage and disadvantage respectively in demonstration of the early PC, there ;ore the combined use of CT and ERCP may all play a role in the diagnosis and differential diagnosis.
Keywords:Pancreatic carcinoma  Tomofraphy  X-ray computed  Pancreatocholangiography  Endoscope  Retrograde
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