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目的探讨胰腺实性假乳头状瘤的CT表现及探讨手术治疗可行性。方法:指定一名具有专业知识及丰富经验的临床CT检查医师完成10例胰腺实性假乳头状瘤患者CT各向同性扫描工作,根据CT检查结果判断患者病情与手术治疗相关性。结果:所有患者均经病理诊断确诊为胰腺实性假乳头状瘤疾病,其中9例(90.00%)患者均经手术给予胰腺实性假乳头状瘤单纯切除治疗,1例(10.00%)患者由于CT检查发现肝囊实性转移灶,在手术切除胰腺实性假乳头状瘤的基础上,增加肝脏病灶切除治疗。结论:临床医生应准确掌握胰腺实性假乳头状瘤CT检查表征,对疑似患者进行及时的影像学检查,待确诊病情后给予正确的手术治疗方案,可显著提高患者诊断正确率及临床疗效,保障患者预后及生活质量。
Objective To investigate the CT findings of solid pseudopapillary tumors of the pancreas and to explore the feasibility of surgical treatment. Methods: A clinical CT examiner with professional knowledge and rich experience was appointed to complete the isotropic CT scan of 10 patients with solid pseudopapillary pancreatic cancer. The correlation between the patient’s condition and surgical treatment was judged according to the results of CT examination. Results: All the patients were diagnosed as solid pseudopapillary pancreatic tumors by pathological diagnosis. Nine of them (90.00%) were treated by simple resection of solid pseudopapillary tumors of pancreas. One patient (10.00% CT examination revealed solid liver metastases, resection of the solid pancreatic pseudopapillary tumors on the basis of increased resection of liver lesions. Conclusion: Clinicians should accurately grasp the CT examination of solid pseudopapillary tumors of the pancreas and conduct timely radiological examination of the suspected patients. After the diagnosis of the disease, the correct surgical treatment plan should be given, which can significantly improve the diagnostic accuracy and clinical efficacy of the patients. To protect the prognosis and quality of life of patients.