胰腺实性-假乳头状瘤应用多层螺旋CT诊断的效果研究  

Effect of Multislice Spiral CT in Diagnosis of Solid Papilloma of Pancreas

作　　者：李江华 LI Jianghua(Jiangling County People’s Hospital,Jiangling 434100,China)

机构地区：[1]江陵县人民医院,湖北江陵434100

出　　处：《中外医学研究》2019年第3期49-50,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析多层螺旋CT诊断在胰腺实性-假乳头状瘤中的诊断价值。方法:选取2014年1月-2017年12月笔者所在医院收治的胰腺实性-假乳头状瘤患者52例作为观察对象,所有患者均经手术病理组织学检查确诊,且患者均行64层螺旋CT检查,观察患者多层螺旋CT的影像学特征。结果:52例患者中有18例患者病灶位于胰头,有34例患者病灶位于胰尾。肿瘤密度不匀且主要由囊性与实行成分组成,囊性部分行CT平扫表现为液体低密度影,实性成分行CT平扫主要显示为低或等密度。结论:胰腺实性-假乳头状瘤患者具有典型的CT征象,利用多层螺旋CT能够提高临床诊断的准确率。Objective:To analyze the diagnostic value of multi-slice spiral CT in solid papilloma of pancreas.Method:A total of 52 cases from January 2014 to December 2017 admitted the pancreas solid-false papilloma patients as research object,all patients were confirmed by surgery pathology histology examination,and the patients were performed 64 layers spiral CT examination,the multilayer spiral CT imaging features were observed.Result:18 of the 52 patients had lesions in the head of the pancreas and 34 patients had lesions in the tail of the pancreas.The tumor density was not uniform and mainly consists of cystic and operative components.The CT plain scan of cystic part showed low density shadow of liquid,while the solid branch CT plain scan mainly showed low or equal density.Enhanced scanning revealed that the cystic part was not strengthened,while the solid part was slightly strengthened in the arterial phase,moderately unevenly strengthened in the venous phase and the delayed phase,and gradually strengthened to the heart.Most patients had complete tumor envelope.Conclusion:Patients with solid papilloma of pancreas have typical CT features,which can provide scientific imaging data for clinical diagnosis and improve the accuracy of clinical diagnosis.

关 键 词：多层螺旋CT 胰腺实性-假乳头状瘤 临床诊断 

分 类 号：R735.9[医药卫生—肿瘤]