多层螺旋CT三期增强扫描对胰腺体尾部癌的诊断价值

    The value of three-phase multislice spiral CT contrast-enhanced scan in the diagnosis of carcinoma pancreatic body and tail

    • 摘要: 目的:探讨多层螺旋CT三期增强扫描在胰腺体尾部癌中的诊断价值及临床意义。方法:行螺旋CT三期增强扫描,比较胰腺正常组织和肿瘤在平扫和增强三期的CT值变化,依据CT征象诊断胰腺癌并行术前评估。结果:三期增强扫描后肿瘤轻度强化22例,中度强化9例,囊性无明显强化1例。增强后肿瘤-胰腺的密度差分别为动脉期23.45±12.62,胰腺期64.53±27.34,门脉期41.28±19.12,差异有统计学意义(P<0.01)。结论:多层螺旋CT三期增强扫描对胰腺体尾部癌的早期诊断有重要的临床价值。

       

      Abstract: Objective: To evaluate three-phase spiral CT contract-enhanced(CE) scan in the diagnosis of carcinoma of pancreatic body and tail and its clinical application.Methods: Thirty-two cases with carcinomas of pancreatic body and tail underwent plain CT and three-phase CE scan.The CT value of normal pancreas and tumors were measured and compared.According to CT findings,the diagnosis and resectablities were assessed.Results: Among 32 cases,22 showed slight enhancement,9 showed middle enhancement,1 showed non-enhancing cystic lesion.Turmor-pancrea contrast values in arterical phase were 23.45±12.62,64.53±27.34 in pancrdatic parenchymal phase and 41.28±19.12 in portalvein phase.The datas of three groups have difference in statistics(P<0.01).Conclusions: Multislice spiral CT three-phase CE scan is valuable in detecting the carcinoma of pancreatic body and tail.

       

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