目的 探討螺旋CT雙期薄層增強掃描對胰頭癌可切除性的評估價值。
方法 回顧性分析24例經螺旋CT雙期薄層增強掃描胰頭癌的CT表現，觀察腫塊對鄰近器官或組織侵犯情況，以及有無遠處器官和淋巴結轉移，據此判斷腫塊能否切除，并將其結果與手術病理結果相對照。
結果 螺旋CT判斷胰頭癌可切除的敏感性為90.9%，特異性為84.6%，陽性預測值為83.3%，陰性預測值為91.7%，準確性為87.5%。
結論 螺旋CT雙期薄層增強掃描判斷胰頭癌可切除性的價值較高，對外科醫生選擇最佳治療方案有較大的幫助。
Citation：
劉榮波,嚴志漢,周翔平,李波,宋彬,許崇永. EVALUATION OF RESECTABILITY FOR PANCREATIC HEAD CARCINOMA WITH DUAL-PHASE THINSLICE SPIRAL CT. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(5): 334-335. doi:
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- 2. Diehl SJ, Lehmann KJ, Sadick M, et al. Pancreatic cancer: value of dualphase helical CT in assessing resectability 〔Ｊ〕. Radiology, 1998; 206(2)∶373.
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