多层螺旋CT在鉴别诊断胰腺相关囊性肿瘤中的应用研究

doi:10.7517/issn.1674-0475.200406

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (6): 1023-1026.DOI: 10.7517/issn.1674-0475.200406

多层螺旋CT在鉴别诊断胰腺相关囊性肿瘤中的应用研究

梁盛忠, 桑海燕, 贾长玲

青海省交通医院放射科, 青海西宁 810008

收稿日期:2020-04-17 出版日期:2020-11-15 发布日期:2020-11-15
通讯作者: 梁盛忠

Application of Multislice Spiral CT in the Differential Diagnosis of Pancreatic Associated Cystic Tumors

LIANG Shengzhong, SANG Haiyan, JIA Changling

Radiology Department, Traffic Hospital of Qinghai Province, Xining 810008, Qinghai, P. R. China

Received:2020-04-17 Online:2020-11-15 Published:2020-11-15

摘要/Abstract

摘要： 本研究选取82例胰腺囊性肿瘤患者为研究对象，患者入院后均给予多层螺旋CT（MSCT）检查，以病理诊断为金标准，探讨MSCT在胰腺相关囊性肿瘤鉴别诊断中的应用价值。结果显示，MSCT诊断胰腺相关囊性肿瘤与病理诊断符合率为96.34%。浆液性囊腺瘤多呈分叶状、多囊状，单个囊腔的最大直径<2 cm。粘液性囊腺瘤多呈多房囊性肿块，病灶内部单个囊腔的最大直径均>2 cm。粘液性囊腺癌呈现单个的类圆形低密度影，边缘尚清，未见分叶。MSCT在胰腺囊性相关肿瘤诊断中敏感性强，且不同病变有相对特定的影像学表现，可为鉴别胰腺相关囊性肿瘤诊断提供有效参考。

关键词: MSCT, 胰腺囊性肿瘤, 影像学表现, 诊断价值

Abstract: In order to analyze the value of multi-slice spiral CT (MSCT) in the differential diagnosis of pancreatic associated cystic tumors, 82 patients with pancreatic cystic tumors were selected as subjects. All patients were given an MSCT examination. Pathological diagnosis was taken as the gold standard to evaluate the diagnostic value of MSCT. The results showed that the coincidence rate of MSCT and pathology was 96.34%. Most serous cystadenomas were lobulated and multicystic. The maximum diameter of a single cystic cavity was less than 2 cm. Most of the mucinous cystadenomas were multilocular cystic masses. The maximum diameter of single cystic cavity in the lesions was greater than 2 cm. Mucinous cystadenocarcinoma showed a single round low-density shadow with a clear margin and no lobulation. Therefore, MSCT has high sensitivity in the diagnosis of pancreatic cystic tumors, and different lesions have their imaging features, which provides an effective reference for the differential diagnosis of pancreatic cystic tumors.

Key words: multi-slice spiral CT, pancreatic cystic tumor, imaging findings, diagnostic value

梁盛忠, 桑海燕, 贾长玲. 多层螺旋CT在鉴别诊断胰腺相关囊性肿瘤中的应用研究[J]. 影像科学与光化学, 2020, 38(6): 1023-1026.

LIANG Shengzhong, SANG Haiyan, JIA Changling. Application of Multislice Spiral CT in the Differential Diagnosis of Pancreatic Associated Cystic Tumors[J]. Imaging Science and Photochemistry, 2020, 38(6): 1023-1026.

参考文献

[1] Aronsson L,Andersson R,Ansari D. Intraductal papillary mucinous neoplasm of the pancreas-epidemiology, risk factors,diagnosis,and management[J].Scandinavian Journal of Gastroenterology,2017,52(8):1-13.
[2] Van Huijgevoort N C M, Del Chiaro M, Wolfgang C L, et al.Diagnosis and management of pancreatic cystic neoplasms:current evidence and guidelines[J]. Nature Reviews Gastroenterology & Hepatology,2019,16(11):676-689.
[3] 张冰凌,孟锦.胰腺囊性肿瘤患者MSCT影像学表现及病理诊断对比分析[J].中国地方病防治杂志,2018,33(6):711,717.
[4] 王欣,刘玲,杨艳兵.胰腺囊性肿瘤的影像诊断及其鉴别诊断[J].中国CT和MRI杂志,2018,16(8):100-103.
[5] 陈朝晖.胰腺浆液性囊腺瘤与粘液性囊腺瘤的CT表现分析[J].中国中西医结合影像学杂志,2018,16(1):67-68.
[6] 郭文凤,王永琪,马亚,等.超声对胰腺浆液性囊腺瘤和粘液性囊腺瘤的鉴别诊断价值[J].中华胰腺病杂志,2019,19(5):370-372.
[7] 卢宝兰,杨心悦,杨艳红,等.CT在胰腺浆液性寡囊性腺瘤与非浸润性粘液性囊性肿瘤中的诊断价值[J].中山大学学报(医学科学版),2016,37(3):456-461.
[8] Liu X, Xu W, Liu Z, et al. MRI Combined with magnetic resonance cholangiopancreatography for diagnosis of benign and malignant pancreatic intraductal papillary mucinous neoplasms[J]. Current Medical Imaging Reviews, 2019,15(5):504-510.
[9] 郑金辉,何利平,陈勇,等.内镜下胰胆管逆行造影术在胆胰管导管内乳头状粘液性瘤中的应用价值[J].中国内镜杂志,2015,21(6):567-570.
[10] Jiang L, Tang Q, Panje C M, et al. Assessment of pancreatic colloid carcinoma using (18)F-FDG PET/CT compared with MRI and enhanced CT[J]. Oncology Letters,2018,16(2):1557-1564.
[11] 黄海,周海生,张培贵,等.胰腺导管内乳头状粘液性肿瘤MSCT表现特征[J].中华内分泌外科杂志,2018,12(3):218-222.
[12] 秦国初,周科峰,何健, 等.胰腺囊性病变的MSCT诊断价值[J].医学影像学杂志,2014,24(2):326-329.
[13] 楼文晖.观察还是手术切除:胰腺囊性肿瘤的治疗策略[J].中华消化外科杂志,2018,17(7):663-665.
[14] 赵德利,张金玲,王国坤,等.胰腺囊性病变的诊断思维:胰腺粘液性囊性肿瘤[J].影像诊断与介入放射学,2017,26(4):341-343.
[15] 贾永,赵玲玲,肖红.核磁共振与多层螺旋CT在诊断胰腺囊性病变中的临床价值比较[J].中国CT和MRI杂志,2018,16(5):103-106.
[16] Doulamis I P, Mylonas K S, Kalfountzos C E, et al. Pancreatic mucinous cystadenocarcinoma:epidemiology and outcomes[J].International Journal of Surgical Pathology,2016,35(8):76-82.
[17] 王志强,许京轩,邱乾德.胰腺浆液性囊腺瘤MSCT表现与病理特征[J].中国临床医学影像杂志,2020,31(4):271-275.
[18] 罗帝林,赵志清,黄春元,等.多层螺旋CT对胰腺囊腺瘤与囊腺癌的诊断价值[J].放射学实践,2014,(4):419-421.
[19] 敖炜群,王健,杨光钊,等.纯囊性胰腺神经内分泌肿瘤八例的CT、MRI影像学特征分析[J].中华胰腺病杂志,2019,19(3):216-218.
[20] 梁萌,赵丽,马霄虹,等.囊液CT纹理分析在鉴别胰腺浆液性囊腺瘤与粘液性囊性肿瘤中的价值[J].实用放射学杂志,2018,34(9):1381-1385.
[21] 史曙光,胡春洪,周莹.胰腺实性假乳头状瘤的性别差异:临床和MSCT表现[J].放射学实践,2020,35(2):213-216.

多层螺旋CT在鉴别诊断胰腺相关囊性肿瘤中的应用研究

Application of Multislice Spiral CT in the Differential Diagnosis of Pancreatic Associated Cystic Tumors

PDF (PC)

RichHTML

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 9

编辑推荐

Metrics

本文评价

[1]	廖红霞, 杨加亮, 杨渌. 脑电图监测对额叶癫痫发作性患者的早期诊断及术中辅助定位价值研究[J]. 影像科学与光化学, 2021, 39(1): 19-23.
[2]	张化冰, 齐杰, 高战强, 刘术昌, 焦健, 冯磊. 磁共振扩散加权成像联合血清AFP对小肝癌临床诊断及疗效评估的价值[J]. 影像科学与光化学, 2021, 39(1): 75-80.
[3]	张伟, 施春梅, 张忠新, 王林, 郑兵. 核磁共振联合超声融合成像引导下前列腺靶向穿刺对PI-RADS评分≥3分的前列腺癌患者的诊断价值[J]. 影像科学与光化学, 2021, 39(1): 96-100.
[4]	吴青京, 颜雪萍, 陈昌利, 张亚芳, 张婷, 许晶. 超声检查在孕妇产前诊断中的应用价值[J]. 影像科学与光化学, 2021, 39(1): 124-127.
[5]	佟颖, 米楠, 张荣, 邢千超, 曹振东. 多模态磁共振对妇女乳腺纤维腺病的鉴别诊断效果[J]. 影像科学与光化学, 2020, 38(6): 1043-1046.
[6]	吴莉, 周建英. 经腹联合经阴道彩超对异位妊娠的诊断价值[J]. 影像科学与光化学, 2020, 38(5): 833-837.
[7]	李晓卿, 徐志豪, 齐银萍. CT纹理分析与MSCT三维重建对孤立性肺结节良恶性鉴别诊断效能分析[J]. 影像科学与光化学, 2020, 38(5): 914-918.
[8]	林莉萍, 林永. 侵蚀性葡萄胎的MRI影像学表现及其诊断效果[J]. 影像科学与光化学, 2020, 38(3): 530-534.
[9]	孙秋原, 李骥, 牛亚峰. 外伤性膝关节隐性骨折的核磁共振成像表现及其诊断价值分析[J]. 影像科学与光化学, 2020, 38(1): 138-143.