摘要
目的:通过病理对照分析,探讨CT、MRI对胰腺囊性病变的诊断价值。方法:选取我院2013年1月至2016年12月收治的胰腺囊性病变患者60例,所有患者均分别采用CT、MRI检查,依据检查方法分为CT组和MRI组,对两组患者检查结果和病理结果比较、检查时间进行统计分析。结果:MRI诊断假性囊肿、真性囊肿、囊腺瘤、囊腺癌、胰腺导管内乳头状粘液瘤、癌变胰岛细胞瘤、实性假乳头状瘤与病理符合率分别为100.0%(13/13)、100.0%(16/16)、91.7%(11/12)、100.0%(7/7)、100.0%(6/6)、100.0%(3/3)、100.0%(3/3),CT诊断与病理符合率分别为84.6%(11/13)、93.8%(15/16)、100.0%(12/12)、85.7%(6/7)、83.3%(5/6)、66.7%(2/3)、100.0%(3/3);MRI诊断与病理符合率略高于CT诊断,差异不显著(P>0.05)。MRI组患者的检查时间显著长于CT组(P<0.01)。结论:CT与MRI对胰腺囊性病变的诊断率均较高,虽然MRI具有较长的检查时间,但其能够多方位成像,同时能够将更多的信息提供给临床对囊性成分的分析,特别是较为敏感的出血及囊性病变的大小、数量、范围、境界、成份、性质等,因此二者均具有一定特征性,建议临床结合应用。
Objective: To investigate the clinical value of MRI in the diagnosis and differential diagnosis of cystic lesions of the pancreas. 60 patients with pancreatic cystic lesions methods in our hospital from January 2013 to December 2016 were based on the inspection methods of these cases, patients were divided into MRI group and CT group, compared to two groups of patients, examination results and pathological examination results examination time for statistical analysis. Results papillary myxoma and pathological diagnosis of MRI pseudocyst, cyst, cystadenoma, cystadenocarcinoma, intraductal, malignant islet cell tumor, solid thyroid papilloma coincidence rate was 100.0% (13/13), 100.0% (16/16), 91.7% (11/12), 100.0% (7/7), 100.0% (6/6), 100.0% (3/3), 100.0% (3/3), CT diagnosis and pathological coincidence rate was 84.6% (11/13), 93.8% (15/16), 100.0% (12/12), 85.7% (6/7), 83.3% (5/6), 66.7% (2/3), 100.0% (3/3). The difference of MRI, CT diagnosis and pathological coincidence rate was significant (P 〉 0.05). The MRI group was significantly longer than that in group CT (P 〈 0.05). Conclusion MRI diagnosis and differential diagnosis of pancreatic cystic lesions have certain advantages compared with CT, although MRI has a long time to check, but it can have multiple imaging, meanwhile can provide more information on the clinical analysis of cystic components, In particular, more sensitive to the size, number, range, extent, composition, nature, etc. of bleeding and cystic lesions.
作者
吴延春
刘垚
WU Yan-chun LIU Yao(Department of Radiology, Gaochun People's Hospital, Nanjing 211300, China Department of Medical Imaging, Wuxi People's Hospital Affiliated to NJMU, Wuxi 2 1 4023, China)
出处
《CT理论与应用研究(中英文)》
2017年第5期591-597,共7页
Computerized Tomography Theory and Applications
关键词
CT
MRI
诊断
鉴别诊断
胰腺囊性病变
临床价值
CT
MRI
diagnosis
differential diagnosis
cystic lesions of pancreas
clinical value