We discuss fluctuations in a dilute two-dimensional Bose-condensed dipolar gas, which has a roton-maxon character of the excitation spectrum. We calculate the density-density correlation function, fluctuation corrections to the chemical potential, compressibility, and the normal (superfluid) fraction. It is shown that the presence of the roton strongly enhances fluctuations of the density, and we establish the validity criterion of the Bogoliubov approach. At T=0 the condensate depletion becomes significant if the roton minimum is sufficiently close to zero. At finite temperatures exceeding the roton energy, the effect of thermal fluctuations is stronger and it may lead to a large normal fraction of the gas and compressibility.