摘要
目的探索有效的壶腹部周围癌的早期诊断方法。方法回顾性分析2005年7月至2009年7月收治的32例无明显症状的早期壶腹部周围癌的临床资料。结果本组32例均在手术后痊愈出院。肿瘤学定量检测中CA19-9升高最为显著,与参考值比较,差异有统计学意义(P<0.05)。CEA和CA125的增高幅度相对较小,与参考值相较,差异无统计学意义(P>0.05)。但在胰头癌、胆总管远端肿瘤和十二指肠乳头癌病例间比较,三者间差异均无统计学意义(P>0.05)。结论对于仅有胆总管增宽和轻度黄疸的壶腹部周围癌病人,多排螺旋CT薄层扫描、MRI和MRCP检查可以弥补B型超声的不足,肿瘤学标记物的定量检查可以提高诊断的准确性。
Objective To explore the early diagnosis of periampullary carcinoma. Methods The clinical data of 32 cases of early periampullary carcinoma without obvious symptoms from July 2005 to July 2009 were retrospectively analyzed. Results All these 32 patients were cured after surgical operation. CA19-9 level was increased most significantly in these patients（P〈0. 05）. CEA and CA125 levels were increased slightly（P〉 0.05）. Conclusion For the patients with slight widening of common bile duct and slight increase of serum bilirubin, the examinations of muhidetector-row spiral CT,MRI and MRCP were necessary after B-ultrasound examination. The quantitative detection of tumor markers can increase the accuracy of diagnosis.
出处
《腹部外科》
2009年第6期353-354,共2页
Journal of Abdominal Surgery
关键词
肝胰管壶腹
肿瘤
早期诊断
Ampulla of rater
Neoplasms
Early diagnosis
