磁共振结合序列检查对壶腹周围癌患者的诊断效果研究  

Study on the Diagnostic Effect of Magnetic Resonance combined with SequenceExamination on Patients with Periampullary Cancer

作　　者：李亚辉[1] 周汝明[2] LI Yahui;ZHOU Ruming(The Second People’s Hospital of Hengshui,Hengshui,053000)

机构地区：[1]衡水市第二人民医院,053000 [2]河北省人民医院,053000

出　　处：《实用癌症杂志》2020年第11期1883-1886,共4页The Practical Journal of Cancer

摘　　要：目的探讨磁共振结合序列检查对壶腹周围癌患者的诊断效果。方法选择接受治疗的壶腹周围癌(VPC)患者82例,根据所有患者的磁共振影像资料分析,其中壶腹癌(AC)31例,远端胆管癌(DBDC)9例,十二指肠乳头癌(DPC)19例,胰头癌(PHC)23例。82例壶腹周围癌患者均进行常规磁共振腹部平扫、磁共振增强扫描和胰胆管成像扫描,结合磁共振影像资料分析患者的肿瘤类型及特点、胰胆管形态学特点及变化情况,对所有数据进行检测和分析。结果不同类型的4种壶腹周围癌患者在肿瘤病灶的大小、位置及磁共振扫描信号的均匀性方面差异显著,(P<0.05);壶腹周围癌患者磁共振影像资料均出现明显的双管特征,(P<0.05);胰头癌患者的磁共振影像资料四管特征和鼠尾特征明显,(P<0.05);远端胆管癌患者磁共振影像资料出现明显的截断性特征和三管特征,(P<0.05);壶腹癌患者磁共振影像资料呈现明显的鸟嘴特征,(P<0.05),主胰管扩张形态4组患者无差异。主胰管直径对比,胰头癌患者主胰管直径最大,远端胆管癌患者最小,(P<0.05);胰胆管汇合角度对比,胰头癌和远端胆管癌患者较大,壶腹癌和十二指肠乳头癌患者较小,(P<0.05)。结论磁共振结合序列检查能够鉴别壶腹周围癌患的不同肿瘤类型和病情严重程度,对壶腹周围癌患者治疗方案的选择和预后有较高的临床推广价值。Objective To explore the diagnostic effect of magnetic resonance combined with sequence examination on patients with periampullary cancer.Methods 82 patients with periampullary carcinoma(VPC)selected for treatment were analyzed based on the magnetic resonance imaging data of all patients,including 31 cases of ampullary carcinoma(AC),9 cases of distal cholangiocarcinoma(DBDC),and duodenal papilla There were 19 cases of carcinoma(DPC)and 23 cases of pancreatic head carcinoma(PHC).82 patients with periampullary cancer were subjected to conventional magnetic resonance abdominal plain scan,magnetic resonance enhanced scan and pancreaticobiliary duct imaging scan,combined with magnetic resonance imaging data to analyze the patient's tumor type and characteristics,pancreaticobiliary duct morphological characteristics and changes.The data was tested and analyzed.Results Patients with 4 types of periampullary cancers of different types had significant differences in the size,location and uniformity of MRI scan signals(P<0.05);there were obvious double tubes in magnetic resonance imaging data of patients with periampullary cancer characteristics,(P<0.05);magnetic resonance imaging data of pancreatic head cancer patients with four-tube features and rat tail features are obvious,(P<0.05);magnetic resonance imaging data of patients with distal cholangiocarcinoma have obvious truncation characteristics and three-tube features characteristics,(P<0.05);magnetic resonance imaging data of patients with ampulla carcinoma showed obvious bird's beak features,(P<0.05),and the main pancreatic duct dilation pattern showed no difference among the 4 groups.Contrast of the diameter of the main pancreatic duct,the diameter of the main pancreatic duct is the largest in patients with pancreatic head cancer,and the smallest is in the patients with distal bile duct cancer(P<0.05).Patients with duodenal papillary carcinoma were smaller,(P<0.05).Conclusion Magnetic resonance combined with sequence examination can identify different tumor types an

关 键 词：磁共振 序列检查 壶腹周围癌 胆总管下段癌 十二指肠乳头癌 胰腺癌 

分 类 号：R73-36[医药卫生—肿瘤]