目的 分析核磁共振(MRI)与多 层螺旋CT(MSCT)在诊断胰腺囊性病变 中的临床价值。方法 对我院2013年10 月-2017年10月收治的24例胰腺囊性病变 患者进行回顾性分析，患者均在术前行 MSCT及MRI检查，将检查结果与手术病理 检查对比分析，并分析MSCT及MRI检查的 影像学征象。结果 手术病理诊断结果 显示，24例胰腺囊性病变患者中胰腺假 性囊肿(PPC)9例，胰腺真性囊肿(TPC)2 例，浆液性囊性肿瘤(SCN)3例，黏液性 囊性肿瘤(MCN)5例，导管内乳头状黏液 瘤(IPMN)4例，实性假乳头肿瘤(SPN)3 例；MSCT及MRI检查准确率比较，差异 无统计学意义(P>0.05)；MRI检查时间 显著长于MSCT检查，差异有统计学意义 (P<0.05)。结论 MRI与MSCT两种检查方式 均能准确诊断胰腺囊性病变，虽然MRI检 查时间较长，但MRI检查可为临床医师提 供更多病理信息，在实际临床运用中， 应结合患者实际情况，合理选择最优检 查方式，为后续治疗提供影像学依据。

Objective To analyze the clinical values of magnetic resonance imaging (MRI) and multi-slice spiral CT (MSCT) in the diagnosis of pancreatic cystic disease. Methods 24 cases of patients with pancreatic cystic lesions admitted to our hospital from October 2013 to October 2017 were retrospectively analyzed. All patients were given the MSCT and MRI before operation, and the examination results were compared with the surgical pathology examination, and the imaging findings of MSCT and MRI were analyzed. Results Pathological diagnosis showed that there were 9 cases of pancreatic pseudocyst (PPC), 2 cases of true pancreatic cyst (TPC), 3 cases of serous cystic neoplasms (SCN), 5 cases of mucinous cystic neoplasms (MCN), 4 cases of intraductal papillary mucinous neoplasm (IPMN) and 3 cases of solid pseudopapillary neoplasm (SPN) in 24 cases of patients with pancreatic cystic lesions. There was no significant difference in the accuracy of MSCT and MRI (P>0.05). The MRI examination time was significantly longer than MSCT examination (P<0.05). Conclusion Both MRI and MSCT can accurately diagnose the pancreatic cystic lesions. Although MRI examination time is longer, it can provide clinicians with more pathological information. In the actual clinical application, it should be combined with the actual situation of patients to choose reasonably the best way so as to provide imaging basis for follow-up treatment.