MSCT与MRI诊断26例胰腺导管内乳头状黏液性肿瘤分析  

Clinical value of MSCT and MRI for the diagnosis of pancreatic intraductal papillary mucinous tumor: an analysis of 26 cases

作　　者：王小进[1] 白卓杰[1] 冯湛[2] 王秀锦[1] WANG Xiao-jin , BAI Zhuo-jie, FENG Zhan, WANG Xiu-jin(Department of Radiology, Nanjing Jiangbei People＇s Hospital Affiliated to Nantong University, Nanjing, Jiangsu 210048, China)

机构地区：[1]南通大学附属南京江北人民医院放射科,江苏南京210048 [2]浙江大学医学院附属第一医院放射科,浙江杭州310006

出　　处：《中国临床研究》2018年第9期1278-1281,共4页Chinese Journal of Clinical Research

摘　　要：目的分析多层螺旋CT (MSCT)与MRI诊断胰腺导管内乳头状黏液性肿瘤的价值。方法随机选取2015年2月至2018年2月收集的胰腺导管内乳头状黏液性肿瘤患者26例,MSCT平扫及增强扫描检查20例,MRI平扫、增强扫描及磁共振胰胆管成像检查6例,对MSCT与MRI影像资料进行分析。结果 26例患者中,MSCT诊断20例,影像学分型:3例为主胰管型; 16例为分支胰管型,发病部位:10例为胰头部,其中交界性肿瘤5例,腺瘤5例,6例在胰体部,其中腺瘤5例,腺癌1例; 1例为混合型,发病部位为胰头部。MRI诊断6例中,发病部位:3例为胰体部,3例为胰尾部。病理诊断26例中,交界性肿瘤6例,腺癌4例,腺瘤16例,分别占总数的23. 1%、15. 4%、61. 5%。结论 MSCT与MRI在诊断胰腺导管内乳头状黏液性肿瘤中均具有较高的临床价值。Objective To analyze the value of multi-slice spiral computed tomography（MSCT） and magnetic resonance image（MRI） for the diagnosis of pancreatic intraductal papillary mucinous tumor. Methods Twenty-six patients with pancreaticintraductal papillary mucinous tumor collected from February 2015 to February 2018 were randomly selected in whom MSCT plain scan and enhanced scan were performed in 20 cases,while MRI plain scan and enhanced scan and magnetic resonance cholangiopancreatography（MRCP） were performed in 6 cases. MSCT and MRI image data were analyzed. Results Out of 26 cases,20 were diagnosed by MSCT. MSCT plain scan and enhanced scan showed： Main pancreatic duct type was seen in 3 cases,and branch pancreatic duct type was seen in 16 cases,10 cases were located in head of the pancreas（5 cases of borderline tumor,5 cases of adenoma）; 6 caseslocated in body of the pancreas（5 cases of adenoma,1 case of adenocarcinoma）. Onset site of 1 case of mixed type was seated in head of the pancreas. Out of 6 cases diagnosed by MRI,the onset site of 3 cases was located in head of the pancreas,and 3 cases was located in pancreatic tail.Out of 26 cases diagnosed by pathology,borderline tumor,adenocarcinoma and adenoma were 6 cases（23. 1%）,4 cases（15. 4%） and 16 cases（61. 5%）,respectively. Conclusion Both MSCT and MRI have higher clinical value for the diagnosis of pancreatic intraductal papillary mucinous tumor.

关 键 词：多层螺旋CT MRI 胰腺导管内乳头状黏液性肿瘤 影像学分型 发病部位 病理诊断 

分 类 号：R735.9[医药卫生—肿瘤] R445[医药卫生—临床医学]