摘要
目的探讨CT诊断于自身免疫性胰腺炎及胰腺癌中的临床价值。方法分析32例胰腺癌与32例自身免疫性胰腺炎患者临床及CT影像资料,比较胰腺癌与自身免疫性胰腺炎患者CT扫描及血清淀粉酶检测结果。结果入院时及入院24h后,胰腺癌与自身免疫性胰腺炎患者血清淀粉酶检测结果比较,P>0.05;胰腺癌患者与自身免疫性胰腺炎患者在血管受侵犯、弥漫性强化减低、胰腺肿胀、胰管截断、被膜样边缘及局灶性密度减低、肾脏受累方面比较,P<0.05。经CT扫描提示,胰腺癌与自身免疫性胰腺炎患者在增强扫描时密度及形态方面比较,P<0.05。结论应用CT扫描诊断胰腺癌与自身免疫性胰腺炎具有较高鉴别价值。
Objective The aim of this study was designed to investigate the value of CT scans in the identification of pancreatic cancer and autoimmune pancreatitis and to avoid the occurrence of misdiagnosis or missed diagnosis,whereby providing a strong basis for the clinical treatment options. Methods The clinical pathological data and CT scan data of 32 cases of pancreatic cancer and 32 patients with autoimmune pancreatitis in our hospital from February 2011 to February 2015 were retrospectively analyzed and CT scans of patients with pancreatic cancer and patients with autoimmune pancreatitis were also compared with the results of serum amylase. Results The results of serum amylase at the admission to hospital and at 24 h after admission had no significant difference between the patients with cancer and patients with autoimmune pancreatitis（ P〉0. 05）. As for the aspects in terms of vascular violations,diffused strengthen reduction,pancreas swelling,pancreatic truncation,film- like edge and focal density reduction,the relatively renal involvement,the comparisons between the patients with pancreatic cancer and patients with autoimmune pancreatitis showed significant differences（ P〈0. 05）. As prompted by CT scan,the enhanced scan density and morphology between he patients with pancreatic cancer and patients with autoimmune pancreatitis were also shown significant differences（P〈0. 05）. Conclusion Application of CT scanning has a high identification value in the diagnosis of pancreatic cancer and autoimmune pancreatitis.
出处
《医学影像学杂志》
2016年第4期666-669,共4页
Journal of Medical Imaging
作者简介
作者简介：曲柏强（1981-），男，黑龙江人，毕业于哈尔滨医科大学，本科学历，主治医师，主要从事医学影像学诊断工作
