CT和MRI影像诊断自身免疫性胰腺炎的临床价值比较

Comparison of Clinical Value of CT and MRI Imaging in Diagnosis of Autoimmune Pancreatitis

目的探讨CT和MRI影像诊断自身免疫性胰腺炎的临床价值。方法回顾性分析2016年5月—2019年5月本院58例疑似自身免疫性胰腺炎患者的临床资料,其中经穿刺活检或手术病理检查确诊42例。58例患者均行CT、MRI检查,以穿刺活检或手术病理结果为标准,判断CT、MRI诊断效能。结果CT诊断敏感度、特异度、准确度分别为CT诊断敏感度、特异度、准确度分别为78.57%、43.75%、68.97%,低于MRI的97.62%、87.50%、94.83%(P<0.05)。结论自身免疫性胰腺炎诊断中MRI敏感度、特异度、准确度较高。

Objective To investigate the clinical value of CT and MRI imaging in the diagnosis of autoimmune pancreatitis.Methods Clinical data of 58 patients suspected of autoimmune pancreatitis in our hospital from May 2016 to May 2019 were retrospectively analyzed,among which 42 cases were confirmed by puncture biopsy or surgical pathological examination.All the 58 patients received CT and MRI examination,and the diagnostic efficacy of CT and MRI was judged by the biopsy or surgical pathological results.Results The sensitivity,specificity and accuracy of CT diagnosis were 78.57%,43.75% and 68.97%,respectively,lower than the 97.62%,87.50% and 94.83% of MRI(P<0.05).Conclusion In the diagnosis of autoimmune pancreatitis,MRI has high sensitivity,specificity and accuracy.