CT增强扫描诊断胰腺良恶性病变的价值观察

Value of CT Enhanced Scan in the Diagnosis of Benign and Malignant Pancreatic Lesions

目的探究CT增强扫描诊断胰腺良恶性病变的价值。方法病例源自医院2019年10月至2021年10月收治的胰腺病变患者90例,患者均行CT常规扫描及增强扫描,以术后病理结果为标准,评估CT增强扫描对胰腺良恶性病变及恶性病变术前分期的诊断价值。结果术后病理结果证实90例胰腺病变患者,良性病变46例、恶性病变44例。良性病变组CT增强扫描胰腺及胰管钙化、假囊肿检出率较恶性病变组明显高,胰胆管扩张检出率较恶性病变组明显低(P<0.05)。恶性病变组增强CT值较良性病变组明显小(P<0.05)。CT增强扫描诊断胰腺良恶性病变的灵敏度、特异度、准确率分别为88.64%(39/44)、73.91%(34/46)、81.11%(73/90)。CT增强扫描对胰腺恶性病变术前分期诊断的准确率为81.82%(36/44)。结论CT增强扫描在胰腺良恶性病变及恶性病变术前分期诊断中的有较高价值,利于患者手术方案制定,对提高术前主观评估信心和精准诊治有一定积极意义。

Objective To investigate the value of CT enhanced scan in the diagnosis of benign and malignant pancreatic lesions.Methods A total of 90 patients with pancreatic lesions were admitted to the hospital from October 2019 to October 2021.All patients underwent conventional CT scan and enhanced scan.The postoperative pathological results were used as the standard to evaluate the value of CT enhanced scan in the diagnosis of benign and malignant pancreatic lesions,and preoperative staging of malignant lesions.Results Postoperative pathological results confirmed that among the 90 patients with pancreatic lesions,there were 46 patients with benign lesions and 44 patients with malignant lesions.The detection rates of pancreatic and pancreatic duct calcification,and pseudocyst in the benign lesion group were significantly higher than those in the malignant lesion group,and the detection rate of pancreaticobiliary duct dilation was significantly lower than that in the malignant lesion group(P<0.05).The contrast-enhanced CT value in the malignant lesion group was significantly smaller than that in the benign lesion group(P<0.05).The sensitivity,specificity and accuracy of CT enhanced scan to diagnose benign and malignant pancreatic lesions were 88.64%(39/44),73.91%(34/46)and 81.11%(73/90),respectively.The accuracy of CT enhanced scan in preoperative staging of malignant pancreatic lesions was 81.82%(36/44).Conclusion CT enhanced scan is helpful for diagnosis of benign and malignant pancreatic lesions,and preoperative staging of malignant lesions,which is beneficial to the development of surgical plan,and plays a positive role in improving preoperative subjective assessment and accurate diagnosis and treatment.