胰腺癌与局限性胰腺炎的超声鉴别诊断  

Differential diagnosis of ultrasound for pancreatic cancer and focal pancreatitis

作　　者：王宏[1] 

机构地区：[1]辽宁中医药大学附属第二医院超声科,沈阳110034

出　　处：《中国医药》2014年第9期1327-1329,共3页China Medicine

摘　　要：目的：评价超声检查对局限性胰腺炎和胰腺癌的鉴别诊断价值。方法收集辽宁中医药大学附属第二医院2008年1月至2013年8月30例胰腺癌和30例局限性胰腺炎患者的病历资料进行回顾性分析，重点分析2组患者超声图像上是否存在病变部位形态、边界、胰管结构、血流信号、肿块内强回声的不同。结果胰腺癌组患者平均年龄为（57±11）岁，局限性胰腺炎组患者平均年龄为（48±9）岁，组间差异有统计学意义（ t ＝-3．53，P＜0．05）。局限性胰腺炎与胰腺癌组患者超声图像有胰管结构者占比[66．7％（20/30）比6．7％（2/30）]和内部强回声斑块者占比[40％（12/30）比0]差异有统计学意义（均P＜0．01）。结论胰腺癌与局限性胰腺炎发病年龄具有明显的不同，内部强回声斑块与胰管形态的超声成像在胰腺癌与局限性胰腺炎患者的鉴别诊断上存在一定的价值。Objective To evaluate the ultrasonographic value in differentiating focal pancreatitis by color Doppler ultrasound .Methods Totally 30 pancreatic cancer cases and 30 focal pancreatitis cases from January 2001 to August 2013 were reviewed .Differences of localized focus , focus configuration , internal echo intensity strong echo plaques and pancreatic duct were analyzed .Results The average age was（57 ±11）years in pancreat-ic cancer and （48 ±9） years in focal pancreatitis patients .There were statistical differences of onset age between the two groups （t=-3.53,P〈0.05）.The sonographic manifestations of focal pancreatitis and pancreatic cancer were similar in the following aspects：localized focus ,focus configuration and internal echo intensity .But internally strong echo plaques[12 cases（40.0%） vs 0] and pancreatic duct[20 cases （66.7%） vs 2 cases （6.7%）]had obvious differences （P〈0.01）.Conclusion Pancreatic cancer and focal pancreatitis patients have different on-set ages, and color doppler ultrasound has a diagnostic value in differentiating focal pancreatitis from pancreatic cancer.

关 键 词：胰腺癌 局限性胰腺炎 彩色多普勒超声 鉴别诊断 

分 类 号：R735.9[医药卫生—肿瘤]