胰腺癌MSCT平扫、增强扫描和灌注成像的价值评价

Evaluation of MSCT Scan,Enhanced Scan and Perfusion Imaging in Pancreatic Cancer

目的:探讨胰腺癌多层螺旋CT平扫、多期增强扫描与CT灌注成像的临床诊断价值。方法:选取2010年1月~2014年10月经我院组织病理确诊的胰腺癌患者28例及同期胰腺良性病变患者22例为研究对象,依次给予多层螺旋CT平扫、多期增强扫描、CT灌注成像检查,统计、比较三种方式的诊断准确性。结果:多层螺旋CT平扫胰腺癌检出率66. 8%,多期增强扫描胰腺癌检出依次为23例(82. 14%)、27例(96. 43%)与26例(92. 86%),高于多层螺旋CT平扫,差异显著(P <0. 05);健康体检者与胰腺癌患者BV、BF、MTT、PS差异显著,P <0. 05)。结论:在胰腺癌的临床诊断上,多期增强扫描、CT灌注成像及多层螺旋CT平扫可提高胰腺癌临床诊断率,为诊治提供有价值依据,值得推广应用。

Objective:To investigate the diagnostic value of multi-slice spiral CT scan,multi phase enhancement scan and CT perfusion imaging in pancreatic cancer.Methods:the pathological diagnosis in our hospital in January 2010-2014 year 10 menstruation and 28 patients with pancreatic cancer earlier in patients with pancreatic benign lesions in 22 cases as the research object,in order to multi-slice spiral CT scan,multi phase scan,CT perfusion imaging,statistics,comparison of the diagnostic accuracy of three ways.Results:multi-slice spiral CT scan pancreatic cancer detection rate of 66.8%,multi phase enhanced scanning of pancreatic cancer were detected in 23 cases(82.14%),27cases(96.43%)and 26 cases(92.86%),P<0.05;health examination with BV,patients with pancreatic cancer BF,MTT and PS had significant difference(P<0.05),with statistical significance.Conclusion:in the clinical diagnosis of pancreatic cancer,multi-phase enhanced scan,CT perfusion imaging and multi-slice spiral CT scan can improve the clinical diagnosis rate of pancreatic cancer,provide a valuable basis for the diagnosis and treatment,it is worth popularizing.