MSCT在壶腹周围癌诊断中的应用价值
高雅鹏
（陕西省康复医院，陕西 西安，710065）
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摘要：
目的 探讨MSCT在壶腹周围癌诊断中的应用价值。方法 对我院2009年6月至2016年9月经手术病理确诊的15例壶腹周围癌患者的MSCT表现进行回顾性分析，观察MSCT诊断结果。结果 15例患者中，常规CT定位准确率为80.0%， MSCT 的定位准确率为100.0%。15例患者中，常规CT定性准确率66.7%，MSCT的定性准确率93.3%。MSCT发现胆管末端癌4例，胰腺头癌7例，壶腹癌4例，均能较清晰地显示其部位及与周围组织结构关系。结论 MSCT可诊断壶腹周围肿瘤， MSCT后处理技术定位准确率较高，有助于术前发现病变，降低漏诊及误诊率。
关键词：壶腹癌；壶腹周围癌；体层摄影技术
中图分类号：R735.0文献标志码：A文章编号：2096-1413(2017)18-0144-02
Application value of MSCT in the diagnosis of periampullary carcinoma
GAO Ya-peng
(Shaanxi Kangfu Hospital, Xi``an 710065, China)
ABSTRACT: Objective To evaluate the diagnostic value of MSCT scanning in periampullary carcinoma. Methods The MSCT findings of 15 cases of periampullary carcinoma confirmed by operation and pathology from June 2009 to September 2016 in our hospital were retrospectively analyzed, and the results were observed. Results Of the 15 patients, the accuracy of conventional CT localization rate was 80.0%, and the MSCT was 100.0%; the qualification accuracy of conventional CT localization rate was 80.0%, and the MSCT was 93.3%. MSCT found 4 cases of end bile duct cancer, 7 cases of pancreatic head cancer, 4 cases of ampullary carcinoma, and can clearly showed their location and the relationship with the surrounding tissue structure. Conclusion MSCT can diagnose the periampullary tumor, MSCT post-processing technology has high positioning accuracy, which can help to preoperative lesions and reduce misdiagnosis and misdiagnosis rate.
KEYWORDS: ampullary carcinoma; periampullary carcinoma; tomography
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