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胰腺囊性病变的CT、MRI分析

作者:覃关道 潘枝婉 韦 岑

所属单位:广西来宾市人民医院(广西 来宾 546100)

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摘要

目的研究胰腺囊性病变的CT、 MRI的临床诊断价值,为今后临床诊断提 供参考和借鉴,提高对胰腺囊实性肿瘤 的诊断水平。方法 选择我院收治的38例 胰腺囊性病变患者为研究对象,患者分 别采用CT、MRI进行诊断,并与病理检查 结果进行对比分析,探讨胰腺囊性病变 的CT、MRI的临床诊断价值。结果 CT检 查结果、MRI检查结果与病理检查结果相 比,差异没有统计学差异,两者检查结 果相比,也没有统计学差异。CT检查时 间低于MRI检查时间,p<0.05,差异具 有统计学意义。结论 CT、MRI诊断胰腺囊 性病变具有重要的临床价值,其影像具 有一定的特征性,两者的诊断率都比较 高,尽管MRI的检查时间要比CT诊断时间 长,但可以多方位成像,且对囊性成分 能提供更多的信息,特别对出血尤为敏 感;在临床实践中要根据患者的具体情 况选择适合患者的诊断方式,以为患者 的后续治疗提供重要的诊断依据。

Objective This paper is to investigate clinical diagnosis value of CT and MRI on cystic lesions of pancreas, to provide the reference for clinical diagnosis in the future, and to improve the diagnosis level on cystic lesions of pancreas. Methods Thirty eight patients with cystic lesions of pancreas admitted by the Hospital were selected as research subjects, patients underwent CT and MRI diagnosis respectively, pathological examination findings of CT and MRI on patients were subject to comparative analysis, and clinical diagnosis value of CT and MRI on cystic lesions of pancreas was explored. Results The difference between CT and MRI examination findings and pathological findings was of no statistical difference when compared, and the differences between were CT and MRI examination findings not statistically important. The duration of MRI examination was less than that of CT examination (p<0.05), and the difference was statistically significant. Conclusions CT and MRI deliver significant clinical value in the diagnosis of CSTP, the images show certain characteristics, the duration of MRI examination is longer than that of CT diagnosis, but it is provided multi-dimensional imaging, it is capable of providing more information on the cystic component, and it is especially particularly sensitive to haemorrhage. The diagnostic mode suitable for patients should be selected according to specific conditions of patients in clinical practices to provide important diagnosis basis for follow-up treatments of patients.

【关键词】胰腺囊性病变;MRI;CT;诊断价值

【中图分类号】R657.5+2

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2015.04.24

前言

随着社会的不断发展,社会医疗水平也有了很大的发展,MRI、CT 等影像学技术也在一定程度上有了发展,因其高分辨率、高清晰度等 特点被广泛的应用于临床治疗中。为了探讨CT、MRI对胰腺囊性病变的 临床诊断价值,我院以38例胰腺囊性病变患者为研究对象,根据其临 床资料进行回顾性分析,取了满意的效果,现将其报告如下。