摘要
目的分析胰腺癌诊断的临床特点及影像学改变,漏诊、误诊原因。方法通过对60例经过实验室、影像学检查、手术探查和病理活检证实的胰腺癌患者,进行回顾性分析。结果60例中,术前误诊21例(30%),漏诊12例(20%),误漏诊率(50%);STB增高27例、BS增高46例、CA199增高43例、CA125增高36例;胰腺癌与难治性糖尿病、血糖持续增高、总胆红素、CA199、CA125增高有统计学差异(P<0.05);胰腺癌TNMIII期32例,81%病人有血糖、总胆红素、CA199、CA125增高,P<0.05;肿瘤转移与血糖、总胆红素、CA199、CA125有统计学意义。结论加强对胰腺癌早期症状和体征的认识,并采用B超、CT、超声胃镜、ERCP、B超引导下胰腺组织细针活检穿刺术及相关的实验室检查,能提高确诊率。
Objective To analyze the clinical characteristic and changes of ultrasonography of pancreatic cancer. Methods 60 pancreatic cancer patients were retrospectively analyzed. Results Among the 60 case 21 cases （30%） were misdiagnosed before operation and 12 cases were missing diagnosed with a missing rate of 20%. Conclusion The accuracy of diagnosis of pancreatic cancer patients be enhanced by recognition of preliminary symptom and physical characteristic of pancreatic cancer patients and integrated using the techniques of uitrasonography, CT, ultrasonic gastrocopy and uitrasonography guided biopsy.
出处
《中国热带医学》
CAS
2006年第9期1642-1643,1619,共3页
China Tropical Medicine
关键词
胰腺癌
诊断
临床分析
Pancreatic cancer
Diagnosis
Clinical analysis
