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超声造影与MRI对胰腺囊性病变的诊断价值比较

作者:李爱丽1 穆清林2 苏 琳1

所属单位:1.河南省直第三人民医院超声科(河南 郑州 450006) 2.河南省煤炭总医院耳鼻喉科(河南 郑州 450006)

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摘要

目的探讨超声造影(CEUS)与核 磁共振成像(MRI)对胰腺囊性病变的诊断 价值。方法 回顾性分析我院收治的90例 胰腺囊性病变患者临床资料,所有患者均 行CEUS、MRI及病理学活检。分析CEUS与 MRI下胰腺囊性病变的影像特点,以病理 学活检结果为“金标准”,分析两种影 像学检查方法鉴别诊断胰腺囊性病变肿瘤 性的准确度差异。结果 各类胰腺囊性病 变在CEUS及MRI中影像特点均有所不同, 两种检查方法对其鉴别诊断准确率分别为 74.4%(67/90)与78.9%(71/90),相互比较 无统计学意义(P>0.05)。结论 CEUS与 MRI鉴别诊断胰腺囊性病变均可获得较为 理想的准确度,临床应用价值均较高。

Objective To explore the diagnostic values of contrast-enhanced ultrasound (CEUS) and magnetic resonance imaging (MRI) in diagnosis of pancreatic cystic lesions. Methods The clinical data of 90 patients with pancreatic cystic lesions admitted to our hospital were analyzed retrospectively. All patients were given CEUS, MRI and pathological biopsy. The imaging features of pancreatic cystic lesions under CEUS and MRI were analyzed, and the pathological biopsy results were taken as "gold standard", and the accuracies of two imaging methods were analyzed in differential diagnosis of pancreatic cystic lesions. Results The imaging features of various types of pancreatic cystic lesions were different in CEUS and MRI, and the diagnostic accuracies were 74.4% (67/90) and 78.9% (71/90) respectively in two methods (P>0.05). Conclusion CEUS and MRI both can obtain ideal accuracy in differential diagnosis of pancreatic cystic lesions, and both have high clinical application values.

【关键词】超声造影;核磁共振成像;胰腺;囊性病变

【中图分类号】R71;R65

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2018.07.031

前言

临床多将胰腺上皮或间质组织形成的含囊腔病变定义为胰腺囊性 病变,目前临床针对不同类型胰腺囊性病变采取的治疗策略往往不 同,因而治疗前充分了解病灶具体情况必要性极大。超声造影(CEUS) 与核磁共振成像(MRI)均是当前诊断胰腺囊实性疾病的重要检查手段, 但国内外较少有研究对二者诊断效果进行比较。对此,本研究旨在探 讨CEUS与MRI对胰腺囊性病变的鉴别诊断效果,取得成果汇报如下。