摘要
目的:探究联合应用CT、MRI增强扫描鉴别诊断胰腺癌与慢性胰腺炎的价值,以便为临床治疗提供有效支持。方法:对在本院接受治疗的120例患有胰腺疾病的患者进行回顾性分析MSCT、MRI增强扫描资料,这些患者中有58例被确诊为胰腺癌,62例患者被确诊为慢性胰腺炎;分析胰腺病变影像学特征与病变性质之间的联系,探究联合运用两种扫描方式对胰腺癌诊断的价值。结果:慢性胰腺炎患者中表现较为突出的影像学特征为:病变与周围组织囊肿、病变部位钙化、动脉期强化、胰胆管扩张较强,上述影像特征与胰腺癌患者差异有统计学意义(P<0.05);胰腺癌患者中表现较为突出的影像学特征为:胰腺体积变大、附近组织与大血管侵犯、附近淋巴结肿大,上述影像特征与慢性胰腺炎患者差异有统计学意义(P<0.05)。对胰腺癌患者使用CT扫描准确性达到62.07%,关于慢性胰腺炎患者的诊断准确性为62.90%;对胰腺癌患者运用MRI扫描的准确性达到63.79%,而关于慢性胰腺炎患者的准确性达到67.74%,对于患者诊断的准确性不具有差异性(P>0.05)。CT与MRI联合扫描对胰腺癌诊断的准确性达到89.66%,对慢性胰腺炎患者的诊断准确性达到92.00%,准确性明显比使用单一的方式要高,差异具有统计学意义(P<0.05)。结论:联合应用CT与MRI增强扫描方式可以实现对胰腺患者病症的准确诊断,确定患者是否为胰腺癌或慢性胰腺炎,使患者能够尽早进行针对性治疗,可有效提高胰腺癌患者生存率。
Objective:To explore the value of combining enhanced CT and MRI in the differential diagnosis of pancreatic cancer and chronic pancreatitis,so as to provide effective support for clinical treatment.Methods:The enhanced MSCT and MRI scanning data of one hundred and twenty patients with pancreatic diseases treated in our hospital were retrospectively analyzed.Among these patients,58 were diagnosed as pancreatic cancer,and 62 were diagnosed as chronic pancreatitis;To analyze the relationship between the imaging characteristics of pancreatic lesions and the nature of the lesions,and to explore the value of combining the two scanning methods in the diagnosis of pancreatic cancer.Results:The prominent imaging features in patients with chronic pancreatitis were:lesions and surrounding tissue cysts,calcification of lesion sites,arterial phase enhancement,and strong dilatation of pancreatic bile ducts.The above imaging features were significantly different from those in patients with pancreatic cancer(P<0.05);The prominent imaging features of pancreatic cancer patients are:enlargement of the pancreas,invasion of adjacent tissues and great vessels,and enlargement of adjacent lymphadenopathy.The above imaging features are significantly different from those of chronic pancreatitis patients(P<0.05).The accuracy of CT scanning for pancreatic cancer patients was 62.07%,and the diagnostic accuracy for chronic pancreatitis patients was 62.90%;The accuracy of MRI scanning for pancreatic cancer patients reached 63.79%,while the accuracy of chronic pancreatitis patients reached 67.74%.There was no difference in the accuracy of patient diagnosis(P>0.05).The accuracy of combined CT and MRI scanning in the diagnosis of pancreatic cancer reached 89.66%,and in the diagnosis of chronic pancreatitis patients reached 92.00%.The accuracy was significantly higher than using a single method,and the difference was statistically significant(P<0.05).Conclusion:The combination of CT and MRI enhanced scanning can achieve accurate diagnosis of pancreatic diseases,determine whether the patient is pancreatic cancer or chronic pancreatitis,enable patients to carry out targeted sex therapy as soon as possible,can effectively improve the survival rate of patients with pancreatic cancer.
作者
郑北
ZHENG Bei(Department of Imaging,Jinghai District Hospital,Tianjin,Tianjin 301600)
出处
《中国医疗器械信息》
2024年第8期12-14,25,共4页
China Medical Device Information
关键词
CT
MRI增强扫描
胰腺癌
慢性胰腺炎
CT
MRI enhanced scanning
pancreatic cancer
chronic pancreatitis
