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64层螺旋CT在胰腺实性假乳头状瘤临床诊断中的应用价值 被引量:4

The clinical values of 64-slice spiral CT in diagnosis of solid- pseudopapillary tumor of pancreas
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摘要 目的探讨64层螺旋CT对胰腺实性假乳头状瘤(SPTP)的临床应用价值。方法对在我院住院治疗并经术后病理证实的17例SPTP患者的病例资料进行回顾性分析,全部病例均于术前行64层螺旋CT平扫加增强检查,CT检查图像由影像科两位有经验的医师进行非双盲阅片。CT诊断结果与术后病理结果进行对比分析。统计学处理采用χ2检验。结果 17例患者中,15例CT诊断结果与术后病理结果相符,CT诊断准确率88.2%;其中肿瘤位于胰头部6例,胰颈部1例,胰腺体尾部10例。结论胰腺实性假乳头状瘤的临床表现无特异性,而其64层螺旋CT表现有一定特征,对SPTP术前定性诊断有重要辅助价值。 Objective To evaluate the clinical application values of 64-slice spiral CT in the diagnosis of solid- pseudopapillary tumor of pancreas(SPTP). Methods Retrospectively analyzed 17 patients with SPTP which were con- firmed by pathological results. All the patients were examined by 64-slice spiral CT before the operation. All the im- ages of 6d-slice spiral CT were viewed respectively by two radiologists separately. The results of 64-slice spiral CT were compared with the pathological results respectively. Statistics processing used Chi-square test. Results The re- suits of 15 cases which by 64-slice spiral CT were consistent with postoperative pathologic results in all of the pa- tients. The accuracy rate of 64-slice spiral CT was 88.2%.There were 6 tumors located in the pancreatic head,1 locat- ed in the neck of pancreas and 10 located in the body or tail of pancreas. Conclusion SPTP has no specific clinical manifestations. But its 64-slice spiral CT manifestations have certain characteristics. The 64-slice spiral CT has an im- portant reference value in qualitative diagnosis of StrFP before the operation.
出处 《实用医学影像杂志》 2013年第2期113-115,共3页 Journal of Practical Medical Imaging
关键词 胰腺肿瘤 体层摄影术 螺旋计算机 图像处理 计算机辅助 Pancreatic neoplasms Tomography, spiral computed Image processing, computer-assisted
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