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探讨了胰腺癌血管受累的CT分型与肿瘤手术可切除性的关系.对43例经手术、病理证实的胰腺癌进行薄层CT动态扫描,根据确定的CT标准,观察肿瘤与血管的关系,并与手术结果对照.发现胰腺癌血管受累以C型最常见,占37.2%,A型10例,肿瘤切除率100%(10/10),B型9例,切除率为77.8%(7/9),C型、D型24例,均不可切除.表明薄层CT动态扫描能提高胰腺癌血管受累的诊断正确率,血管受累CT分型对外科制定手术计划具有一定价值.
2. The relationship between CT classification of vascular involvement in pancreatic cancer and resectability of tumor surgery was discussed. A total of 43 cases of pancreatic cancer confirmed by surgery and pathology were scanned by thin-layer CT. According to the established CT criteria, the relationship between the tumor and blood vessels was observed and compared with the surgical results. The most common type of vascular involvement in pancreatic cancer was C type, accounting for 37.2%, type A 10 cases, tumor resection rate 100% (10/10), type B 9 cases, resection rate was 77.8% (7/9) , C, D 24 cases, are unresectable. It is indicated that the dynamic scan of thin-slice CT can improve the diagnostic accuracy of vascular involvement in pancreatic cancer. CT classification of vascular involvement has certain value in the surgical planning.