胃癌侵犯胰腺疑似患者CT影像学特征分析

臧慧聪

摘要：目的：分析胃癌侵犯胰腺疑似患者的CT影像学特征。方法：共计80例患者参与实验，确诊胃癌，实施CT诊断，共计28例术中确定没有胰腺侵犯，纳入到A组，共计28例手术明确存在胃癌侵犯胰腺情况，实施胃癌根治性手术、胰腺切除术联合治疗，纳入B组，剩余24例纳入C组，手术明确存在胃癌侵犯胰腺情况，无法开展根治性手术治疗，对比三组患者的CT检查。结果：此次实验中，根治性切除57例、无法根治切除而实施单纯探查术或者短路手术23例。随访结果得出，术后1年生存率83.75%（67/80）。结论：胃癌侵犯胰腺疑似患者实施CT影像学检查，应用价值重要，临床应加强对其特征的关注以及分析。

关键词：胃癌;胰腺;CT;影像学特征

Abstract：Objective：to analyze the CT imaging features of suspected patients with gastric cancer invading the pancreas. Methods： a total of 80 patients participated in the experiment， diagnosed gastric cancer and performed CT diagnosis. A total of 28 patients were confirmed to have no pancreatic invasion during operation， and were included in group A. a total of 28 patients were confirmed to have pancreatic invasion by gastric cancer. They were treated with radical surgery and pancreatectomy， and were included in group B. the remaining 24 patients were included in group C. The pancreatic invasion by gastric cancer was confirmed by operation， The CT examination of the three groups was compared. Results： in this experiment， 57 cases underwent radical resection and 23 cases underwent simple exploration or short circuit surgery. The follow-up results showed that the 1-year survival rate was 83.75% （67 / 80）. Conclusion： CT imaging is of great value in patients with suspected pancreatic invasion by gastric cancer. Clinical attention and analysis should be strengthened.

key words：gastric cancer; Pancreas; CT; Imaging features

胃黏膜上皮是胃癌的起源，對比肺癌来说，男性发病率稍微低，男女发病率是1.5-2.5：1，分析疾病诱发因素，包括家族遗传、幽门螺杆菌感染、饮食习惯等[1]，在临床上不罕见胃癌侵犯胰腺情况，占比胃癌的15-25%，给予患者实施胃癌根治性手术，将胰腺切除术应用，术后5年生存率较低，在3-5%左右。在治疗方案上，临床存在一定争议。此次实验纳入80例患者，分析胃癌侵犯胰腺疑似患者的CT影像学特征。

1资料和方法

1.1资料

从我院2020年1-12月随机纳入80例胃癌患者参与实验，同意书签订，依据患者胃癌侵犯胰腺的术前CT检查结果、手术情况，提示术前CT检查存在可疑侵犯，标准是胃癌、胰腺消失脂肪间隙，A组28例，术中确定没有胰腺侵犯，男女分别是21例、7例，年龄19-74（55.5±7.8）岁，B组28例，手术明确存在胃癌侵犯胰腺……