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总结我院经ＣＴ检查和手术病理证实的７５例胰腺癌。对照ＣＴ表现和手术结果，ＣＴ阳性率９７．３％（７３／７５），定性诊断８４％（６３／７５），误诊４．５％（３／７５），不典型表现９．３％（７／７５）。７５例中手术完全切除肿溜１２例（１６％），姑息切除４例。笔者认为：（１）ＣＴ是诊断中晚期胰腺癌的重要手段，但早期诊断仍然困难；（２）对ＣＴ表现不典型的病变需经皮穿刺活检或手术确诊；（３）ＣＴ增强扫描对胰腺癌可否手术切除的估价有重要的参考价值，但应注意假阴性存在。
Summarize 75 cases of pancreatic cancer confirmed by CT examination and surgical pathology in our hospital. Comparing CT findings with surgical results, CT positive rate was 97.3% (73/75), qualitative diagnosis was 84% (63/75), misdiagnosis was 4.5% (3/75), and atypical performance was 9.3% (7 /75). In 75 cases, 12 cases (16%) were completely removed and 4 cases were palliatively removed. The author believes that: (1) CT is an important means for the diagnosis of advanced pancreatic cancer, but early diagnosis is still difficult; (2) CT atypical lesions need to be confirmed by percutaneous biopsy or surgery; (3) CT enhanced scan on the pancreas The assessment of the possibility of surgical resection of cancer has important reference value, but attention should be paid to the presence of false negatives.