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外科研究与新技术（中英文）

外科研究与新技术 ›› 2018, Vol. 7 ›› Issue (2): 108-110.doi: 10.3969/j.issn.2095-378X.2018.02.008

• 论 著 • 上一篇    下一篇

CT平扫与增强对胰腺占位性病变的诊断区别

郇卫洲   

  1. 江苏省沭阳县中医院影像科,沭阳223600
  • 收稿日期:2018-04-13 出版日期:2018-06-28 发布日期:2019-12-10
  • 作者简介:郇卫洲(1978—)男,本科,主治医师,从事医学影像专业;电子信箱:2041621189@qq.com

Diagnostic difference of pancreatic lesion by CT scan and CT enhancement

HUAN Weizhou   

  1. Department of Image, Muyang Hospital of Traditional Chinese Medicine, Shuyang 223600, China
  • Received:2018-04-13 Online:2018-06-28 Published:2019-12-10

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摘要： 目的 胰腺占位用平扫与增强所扫描出的图像,在诊断中提供的参考价值有哪些区别。方法 搜集南京中医药大学沭阳附属医院(沭阳县中医院)就诊行CT腹部检查的63例患者的平扫与增强的CT表现。分析病灶的血供、密度、境界、周围血管的侵犯、周围血管腔的癌栓、周围淋巴结的显示以及病灶检出率。结果 在63例病例中,其中胰腺癌43例,胰腺囊肿10例,胰腺内分泌性肿瘤5例,浆液性囊腺瘤5例。CT平扫35例,检出率85.71%(30/35);增强28例,检出率100%(28/28),增强的检出率明显高于平扫检出率,并提供血供显示,周围血管受侵情况,血管内是否有癌栓,周围淋巴结的显示及强化情况。结论 CT增强比平扫能提供更多的诊断信息,并能为临床手术方法、范围等提供依据。

关键词: 胰腺占位, 血供, CT动态增强扫描, 强度

Abstract: Objective To discuss diagnostic difference of pancreatic lesion by using CT scan and CT enhancement.Methods A toal of 63 patients from Shuyang Hospital Affiliated to Nanjing University of Traditional Chinese Medicine (Shuyang Hospital of Traditional Chinese Medicine) underwent CT scan and CT enhancement of abdomen.The images of blood supply, density, boundary, invasion of surrounding blood vessels, vascular cancer embolus, and surrounding lymph nodes as well as the detection rate of pancreatic lesion were analyzed.Results Among the 63 cases, there were 43 cases of pancreatic cancer, 10 cases of pancreatic cyst, 5 cases of pancreatic endocrine tumor, and 5 cases of serous cystadenoma.The detection rate of pancreatic lesion by CT scan(85.71% [30/35]) was significantly lower than that by CT enhancement(100% [28/28]).In addition, CT enhancement provided images of blood supply, invasion of surrounding blood vessels, vascular cancer embolus, and images and intensity surrounding lymph nodes.Conclusion CT enhancement can provide more diagnostic information for operation than CT scan.

Key words: Pancreatic lesion, Blood supply, CT dynamic enhancement, Intensity

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