螺旋CT对胰腺钩突位置的界定及其径线的测量  

Definition of position and measurement of diameter line with the uncinate process of pancreas through spiral CT

作　　者：刘冠勇[1] 李森[2] 刘慧泽[3] 耿海[4] 庄冠一[2] 李春友[2] 李加起[2] 丁伟[2] 杜福田[2] 丁维宝[2] 

机构地区：[1]潍坊医学院外科学教研室,山东潍坊261042 [2]山东省潍坊市人民医院肝胆血管外科,山东潍坊261042 [3]山东省昌邑市人民医院妇产科,山东昌邑261300 [4]山东省潍坊市人民医院放射科,山东潍坊261042

出　　处：《中国现代普通外科进展》2009年第12期1043-1046,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:为胰腺钩突病变的影像学诊断及手术治疗提供依据。方法:选取非胰腺疾病患者120例,在螺旋CT横断面、冠状面界定胰腺钩突的上下、左右界线,测量钩突的上下、左右、前后径;观察正常胰腺钩突的边缘、形态及与肠系膜上血管的关系。结果:钩突大小、形态在不同个体间差异较大,钩突尖端到达肠系膜上动脉后方者较少,没有超越其左缘者。胰腺钩突的上下径为(2.6688±0.7337)cm,左右径为(2.2550±0.3854)cm,前后径为(1.6292±0.3102)cm。不同年龄、性别患者3种径线差异无统计学意义(P>0.05)。结论:通过螺旋CT对正常胰腺钩突进行了界定、测量,在胰腺钩突肿瘤的术前诊断、评估及手术治疗方面有临床指导意义。Objective： To provide foundation for the imaging diagnosis and operational treatment of the uncinate process diseases. Methods： 120 cases with non-pancreatic diseases were used to define the upper and lower, the left and right boundaries and to measure transversal diameter, vertical diameter, and sagittal diameter of normal pancreas uncinate process in the cross section and coronal plane of spiral CT. Furthermore, the edge, morphology and relationship with superior mesenteric vessels of the normal pancreas uncinate process were observed. Results： There were significant differences in size and morphology of pancreatic uncinate between different individuals . The situation that uncinate tip reaches the superior mesenteric artery rear was much less, and none of them go beyond the left edge .The vertical diameter of pancreas uncinate process was 2.6688 ± 0.7337 cm, the transversal diameter was 2.2550 ±0.3854 cm ,and the sagittal diameter was 1.6292 ±0.3102 cm. However , there was no statistical significance among the three track lines. Conclusion： It is clinically significant for the pre-operative diagnosis, evaluation and surgical treatment of the uncinate process diseases to define and measure further the image of the normal pancreas uncinate process.

关 键 词：胰腺钩突·体层摄影术 螺旋计算机·胰腺肿瘤 

分 类 号：R322.491[医药卫生—人体解剖和组织胚胎学] R735.9[医药卫生—基础医学]