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目的回顾性分析十二指肠恶性肿瘤的影像所见。方法原发肿瘤１３例，继发肿瘤３例，１６例病人均行上消化道气钡双重造影。５例病人行ＣＴ检查，２例行血管造影，２例壶腹部癌行Ｂ超检查，其中１例行ＥＲＣＰ检查。结果所有病人均经手术切除，将Ｘ线所见与病理结果对照分析，腺癌７例，平滑肌肉瘤６例，继发性癌３例。结论消化道造影是十二指肠病变的首选检查方法。本组病例均能提示病变部位，其中１３例定性诊断正确，但对一些外生性肿瘤，造影有其局限性，应结合ＣＴ、Ｂ超综合诊断。
Objective To retrospectively analyze the images of duodenal malignancies. Methods 13 cases of primary tumor, 3 cases of secondary tumor, 16 patients underwent upper gastrointestinal barium double contrast. CT scan was performed in 5 patients, angiography was performed in 2 patients, B ultrasound was performed in 2 cases of ampullary carcinoma, and ERCP was performed in 1 patient. Results All the patients were surgically removed, the X-ray findings and pathological results of controlled analysis of 7 cases of adenocarcinoma, leiomyosarcoma in 6 cases, 3 cases of secondary cancer. Conclusion Gastrointestinal angiography is the preferred method of examination of duodenal lesions. This group of patients can prompt the lesion, of which 13 cases of qualitative diagnosis is correct, but for some of the exogenous tumors, angiography has its limitations, should be combined with CT, B-ultrasound.