| CT、MRCP、US联合血清CA19-9、CEA诊断壶腹周围癌的价值 |
| 投稿时间：2017-02-06 修订日期：2017-04-05 点此下载全文 |
| 引用本文：张国慧,梁蕾,郭君.CT、MRCP、US联合血清CA19-9、CEA诊断壶腹周围癌的价值[J].医学研究杂志,2017,46(12):161-164 |
| DOI：
10.11969/j.issn.1673-548X.2017.12.040 |
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| 中文摘要:目的 探讨CT、MRCP、US检查联合血清CA19-9、CEA的检测对壶腹周围癌的诊断价值。方法 分析87例经手术或经内镜逆行性胰胆管造影术（endoscopic retrograde cholangio-pancreatography，ERCP）活检病理证实壶腹周围癌患者的CT、MRCP、US的影像学表现及血清CA19-9、CEA检测结果。探讨CT、MRCP、US检查联合血清CA19-9、CEA检测对壶腹周围癌的早期诊断价值。结果 ①CT、MRCP检查壶腹周围癌优于US检查；②87例壶腹周围癌血清CEA的差异有统计学意义（χ2=9.97，P<0.05），CA19-9差异无统计学意义（χ2=2.11，P>0.05）；③CT、MRCP、US检查与血清CA19-9、CEA检测的联合使壶腹周围癌的诊断准确率得到提高。结论 CT、MRCP、US检查联合血清CA19-9、CEA检测可以提高壶腹周围癌的早期诊断水平，为临床制定治疗方案提供帮助。 |
| 中文关键词:CT MRCP US 肿瘤标志物 壶腹周围癌 |
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| Diagnostic Value of CT/MRCP,US Combined with Serum CA19-9 and CEA for Periampullary Carcinomas |
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| Abstract:Objective To study the diagnostic value of computer tomography(CT),magnetic resonance cholangiopancreatography (MRCP),ultrasonography combined with serum CA19-9 and CEA for periampullary carcinomas.Methods We analyd the imaging findings and laboratory testings of 87 patients with periampullary carcinomas which were confirmed by surgical or biopsy specimen of ERCP.Results ①CT or MRCP was better than US in diagnosing periampullary carcinomas.② There was significant differences in serum CEA between four categories of periampullary carcinomas (χ2=9.97,P<0.05),while the serum CA19-9 had no statistical difference. ③CT,MRCP,US combined with serum CA19-9 and CEA improved the diagnostic accuracy of the periampullary carcinomas.Conclusion CT,MRCP,US combined with serum CA19-9 and CEA can improve the early diagnosis of periampullary carcinomas and help for clinical treatment plan. |
| keywords:Computer tomography Ultrasonography Magnetic resonance cholangiopancreatography Tumor markers Periampullary carcinomas |
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