胰腺炎性肿块的CT诊断(附16例临床病例分析)

CT diagnosis of pancreatitis with inflammatory mass (Clinical nalysis of 16 cases)

目的探讨胰腺炎性肿块(pancreatic inflammatory mass)的CT征象特征。方法回顾性分析16例经病理证实的胰腺炎性肿块的临床和CT资料,采用西门子Eomotion螺旋CT双期扫描,层厚5mm,螺距1.0。结果16例中14例肿块位于胰头部,2例位于胰体部,10例肿块密度均匀,均匀强化;12例胰头部肿块伴体尾部肿大。5例可见钙化,胰管扩张4例,2例不规则扩张,2例穿过肿块(胰管贯穿症)。8例合并胆管炎,6例胆管内可见结石;肝内外胆管扩张10例,4例轻度;肾前筋膜增厚8例;胰前脂肪层模糊5例。结论胰腺炎性肿块具有较可靠的CT征象,CT对大多数胰腺炎性肿块能做出较准确的诊断。

Objective To study the CT imageological signs of pancreatitis with inflammatory mass. Methods 16 cases of pancreatitis with inflammatory mass proved by histophthology were retrospectively analyzed. Results of which 14 had the inflammatory masses in the heads and the remaining 2 in the bodies. In 10 cases the inflammatory masses showed homogeneous density and slight enhancenent after administration of the contrast materials. In 12 cases the head of pancreatitis with inflammatory mass and swelling of the body and tail of the pancreas. Calcification was found in 5cases,The pancreatic ducts were dilated in 4 cases. The pancrestic ducts ran through the masses in 2 cases. Inter-Extra-hepatoc ducts were dilated in 10 cases. Conclusion The CT signs of pancreatitis with inflammatory mass are reliable, and correct diagnosis can be made by there signs.