超声检查鉴别诊断胰腺癌与局限性胰腺炎的价值  

The value of ultrasonography in distinguishing pancreatic cancer from focal pancreatitis

作　　者：汤旭涛[1] 肖静珍[1] 肖萤[1] 

机构地区：[1]中南大学湘雅医院超声影像科,湖南长沙410008

出　　处：《中国普通外科杂志》2006年第10期788-790,共3页China Journal of General Surgery

摘　　要：目的探讨超声检查鉴别诊断胰腺癌与局限性胰腺炎的价值。方法回顾性分析经手术和病理证实的胰腺癌3 0例和局限性胰腺炎1 8例的超声声像图特征,分析超声检查对鉴别诊断的价值。结果胰腺癌和局限性胰腺炎在患者年龄、胰腺肿块内有无胰管结构、肿块内有无强回声斑块、肿块后方回声等方面均有显著性差异。患者年龄较轻,肿块内有胰管结构、强回声斑块及肿块后方回声增强提示多为局限性胰腺炎。结论超声检查对鉴别诊断胰腺癌和局限性胰腺炎有一定的价值。Objective To investigate the value of uhrasonography in distinguishing pancreatic cancer from focal pancreatitis. Methods The ultrasonographic characteristics of cases of 3 0 pancreatic cancer and 1 8 cases of focal pancreatitis verified by surgery and/or pathology were studied retrospectively to determine the value of ultrasonography in their differential diagnosis. Results There was significant difference between pancreatic cancer and focal pancreatitis in regard to the age of patients, the finding of pancreatic ductal structure and hyperechoic plaque within the pancreatic mass and rear echo. The focal pancreatitis patients were younger. The presence of pancreatic ductal structure and hyperechoic plaque in the pancreatic mass and enhanced rear echo suggested focal pancreatitis, Conclusions Ultrasonography has certain value in distinguishing pancreatic cancer from focal pancreatitis.

关 键 词：胰腺肿瘤/超声检查 胰腺炎/超声检查 诊断/鉴别 

分 类 号：R735.9[医药卫生—肿瘤]