MRI与MSCT血管造影对胰腺癌胰周血管侵犯诊断中的应用  

Application of MRI and MSCT angiography in the diagnosis of peripancreatic vascular invasion of pancreatic cancer

作　　者：杨丽[1] 谭红艳[1] 宋有文[1] YANG Li;TAN Hong-yan;SONG You-wen(Department of Imaging,Jiamusi Central Hospital,Jiamusi 154002,China)

机构地区：[1]佳木斯市中心医院影像科,黑龙江佳木斯154002

出　　处：《黑龙江医药科学》2020年第2期31-33,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的:研究磁共振成像(MRI)与多层螺旋电子计算机断层扫描血管造影(MSCTA)对胰腺癌胰周血管侵犯诊断中的应用价值。方法:选择2016-10~2018-10到医院就诊胰腺癌患者86例,其中胰周血管侵犯63例,无血管侵犯23例,所有患者均进行MRI与MSCT血管造影检测。统计两种检测方式检查胰周血管受侵犯的诊断效能、对不同等级血管侵犯检出率、对不同类型血管侵犯情况检出率。结果:两种检测方式诊断灵敏度及特异度差异无统计学意义(P>0.05);MSCTA诊断准确度高于MRI(P<0.05);两种检测方式对1~4等级血管侵犯检出率无明显差异(P>0.05);两种检测方式对不同类型血管侵犯检出率无明显差异(P>0.05)。结论:MSCTA检测胰腺癌胰周血管侵犯准确率更高。Objective:To study the value of magnetic resonance imaging(MRI)and MSCTA in the diagnosis of peripancreatic vascular invasion in pancreatic cancer.Methods:A total of 86 patients with pancreatic cancer who were admitted to jiamusi central hospital from October 2016 to October 2018 were selected,including 63 patients with peripancreatic vascular invasion and 23 patients without vascular invasion.All the patients were detected by MRI and MSCT angiography.The two methods were used to evaluate the diagnostic efficiency of peripancreatic vascular invasion,the detection rate of different grades of vascular invasion and the detection rate of different types of vascular invasion.Results:There was no significant difference in diagnostic sensitivity and specificity between the two methods(P>0.05).The diagnostic accuracy of MSCTA was higher than that of MRI(P<0.05).There was no significant difference between the two detection methods in the detection rate of vascular invasion of grade 1~4(P>0.05).There was no significant difference between the two methods in the detection rates of different types of vascular invasion(P>0.05).Conclusion:MSCTA is more accurate to detect peripancreatic vascular invasion in pancreatic carcinoma.

关 键 词：磁共振成像 多层螺旋电子计算机断层扫描血管造影 胰腺癌 

分 类 号：R735.9[医药卫生—肿瘤]