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在引起胆道梗阻的病因中,十二指肠乳头癌占有一定比例。十二指肠乳头癌起病隐匿,早期可无任何症状,或仅有轻微的胃肠道症状,常不会引起患者注意,故早期难以诊断,易漏诊。一旦症状明显,病情多已至晚期。十二指肠乳头癌是十二指肠乳头部癌症的统称,分为肠型十二指肠乳头癌和胰胆管型十二指肠乳头癌两种,肠型十二指肠乳头癌起源于十二指肠乳头黏膜,胰胆管型十二指肠乳头癌起源于胰胆管上皮[1],其与胆总管下端癌及胰头癌的影像学表现相似,因此既往的临床和影像学检查对上述肿瘤的鉴别诊断存在困难。十二指肠乳头癌的术前诊断及对肿瘤的可切除性评估主要依靠影像学检查,所以利用影像学新技术提高术前诊断的准确率具有重要意义。
十二指肠乳头癌的影像学研究进展
Research progress of imaging diagnosis of duodenal papillary carcinoma
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摘要: 从十二指肠低张X线造影、超声检查、经内窥镜逆行胆胰管造影检查(ERCP)、CT、MRI和磁共振胆胰管成像(MRCP)五个方面对十二指肠乳头癌的影像学进展进行了概述,分析上述检查方法在诊断十二指肠乳头癌方面的优势及不足。提出在传统方法的基础上,更好地利用常规超声、MRI、CT、ERCP及超声内镜(EUS)等多种影像学方法来对十二指肠乳头癌进行综合诊断,可明显提高诊断的准确率。
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关键词:
- 十二指肠肿瘤 /
- 磁共振成像 /
- 体层摄影术,X线计算机
Abstract: From the following aspects-duodenal low X-ray imaging, ultrasonography, endoscopic retrograde cholangiopancreatography(ERCP), CT, MRI and magnetic resonance cholangiopancretography(MRCP), this paper will analyze important progress of imaging diagnosis of duodenal papillary carcinoma, as well as advantages and disadvantages of the methods mentioned above. This paper believes that on the basis of using conventional imaging methods, some new methods such as ultrasonography, MRI, CT, ERCP, and endoscopic ultrasonography(EUS) ect. will greatly improve accuracy in the comprehensive treatment on duodenal papillary carcinoma. -
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