摘要
目的分析核磁共振(MRI)与多层螺旋CT(MSCT)在诊断胰腺囊性病变中的临床价值。方法对我院2013年10月-2017年10月收治的24例胰腺囊性病变患者进行回顾性分析,患者均在术前行MSCT及MRI检查,将检查结果与手术病理检查对比分析,并分析MSCT及MRI检查的影像学征象。结果手术病理诊断结果显示,24例胰腺囊性病变患者中胰腺假性囊肿(PPC)9例,胰腺真性囊肿(TPC)2例,浆液性囊性肿瘤(SCN)3例,黏液性囊性肿瘤(MCN)5例,导管内乳头状黏液瘤(IPMN)4例,实性假乳头肿瘤(SPN)3例;MSCT及MRI检查准确率比较,差异无统计学意义(P>0.05);MRI检查时间显著长于MSCT检查,差异有统计学意义(P<0.05)。结论 MRI与MSCT两种检查方式均能准确诊断胰腺囊性病变,虽然MRI检查时间较长,但MRI检查可为临床医师提供更多病理信息,在实际临床运用中,应结合患者实际情况,合理选择最优检查方式,为后续治疗提供影像学依据。
Objective To analyze the clinical values of magnetic resonance imaging（MRI） and multi-slice spiral CT（MSCT） in the diagnosis of pancreatic cystic disease. Methods 24 cases of patients with pancreatic cystic lesions admitted to our hospital from October 2013 to October 2017 were retrospectively analyzed. All patients were given the MSCT and MRI before operation, and the examination results were compared with the surgical pathology examination, and the imaging findings of MSCT and MRI were analyzed. Results Pathological diagnosis showed that there were 9 cases of pancreatic pseudocyst（PPC）, 2 cases of true pancreatic cyst（TPC）, 3 cases of serous cystic neoplasms（SCN）, 5 cases of mucinous cystic neoplasms（MCN）, 4 cases of intraductal papillary mucinous neoplasm（IPMN） and 3 cases of solid pseudopapillary neoplasm（SPN） in 24 cases of patients with pancreatic cystic lesions. There was no significant difference in the accuracy of MSCT and MRI（P〉0.05）. The MRI examination time was significantly longer than MSCT examination（P〈0.05）. Conclusion Both MRI and MSCT can accurately diagnose the pancreatic cystic lesions. Although MRI examination time is longer, it can provide clinicians with more pathological information. In the actual clinical application, it should be combined with the actual situation of patients to choose reasonably the best way so as to provide imaging basis for follow-up treatment.
作者
贾永
赵玲玲
肖红
JIA Yong;ZHAO Ling-ling;XIAO Hong(Department of Radiology,Zhengzhou No.9 People＇s Hospital,Zhengzhou 450000,Henan Province,China)
出处
《中国CT和MRI杂志》
2018年第5期103-106,共4页
Chinese Journal of CT and MRI
关键词
核磁共振
多层螺旋CT
诊断
胰腺囊性病变
临床价值
Magnetic Resonance Imaging
Multi-slice Spiral CT
Diagnosis
Pancreatic Cystic Lesions
Clinical Values
