多层螺旋CT在胰腺浆液性囊腺瘤、黏液性囊腺瘤与黏液性囊腺癌诊断中的准确性(1)
【摘要】 目的：探究多層螺旋CT在胰腺浆液性囊腺瘤、黏液性囊腺瘤与黏液性囊腺癌诊断中的准确性。方法：选取2014年4月-2017年6月在本院接受治疗的60例胰腺囊腺瘤患者作为研究对象，对所有患者给予多层螺旋CT诊断，比较胰腺浆液性囊腺瘤、黏液性囊腺瘤/癌的肿瘤位置、分房、钙化情况及CT征象。结果：多层螺旋CT对胰腺浆液性囊腺瘤的诊断准确率为75.0%(18/24)，对黏液性囊腺瘤/癌诊断准确率为88.9%(32/36)。浆液性囊腺瘤有6例被误诊为黏液性囊腺瘤，4例黏液性囊腺瘤/癌被误诊为浆液性囊腺瘤。浆液性囊腺瘤多集中在胰头颈部位，占75.0%(18/24)；黏液性囊腺瘤/癌位置集中在胰体尾部，占66.7%(24/36)，差异均有统计学意义(P<0.05)。浆液性囊腺瘤分房情况、肿瘤钙化灶、囊壁特征、最大囊直径与黏液性囊腺瘤/癌比较，差异有统计学意义(P<0.05)。结论：胰腺浆液性囊腺瘤与黏液性囊腺瘤/癌CT表现不同，可通过多层螺旋CT诊断、鉴别。
【关键词】 多层螺旋CT； 胰腺浆液性囊腺瘤； 黏液性囊腺瘤； 诊断准确性
, http://www.100md.com
Accuracy of Multislice Spiral CT in the Diagnosis of Serous Cystadenoma，Mucinous Cystadenoma and Mucinous Cystadenocarcinoma of the Pancreas/YANG Zunshuai，HU Qiugen，YANG Shaomin，et al.//
Medical Innovation of China，2018，15(23)：-121
【Abstract】 Objective：To explore the accuracy of multislice spiral CT in the diagnosis of serous cystadenoma，mucinous cystadenoma and mucinous cystadenocarcinoma of the pancreas.Method：A total of 60 patients with pancreatic cystadenoma admitted from April 2014 to June 2017 in our hospital as the research objects，all patients were given multislice spiral CT diagnosis，the tumor location，housing situation，calcification and CT signs of pancreatic serous cystadenoma，mucinous cystadenoma/carcinoma were compared.
, 百拇医药
Result：The diagnostic accuracy of multislice spiral CT in pancreatic serous cystadenoma was 75.0% (18/24)，and the diagnostic accuracy of mucinous cystadenoma/carcinoma was 88.9% (32/36).6 cases of serous cystadenoma were misdiagnosed as mucinous cystadenoma，and 4 cases of mucinous cystadenoma/carcinoma were misdiagnosed as serous cystadenoma.Serous cystadenoma was more concentrated in the pancreatic head and neck area， accounting for 75.0% (18/24)，mucinous cystadenoma/cancer position concentrated in the body and tail of the pancreas，accounted for 66.7% (24/36)，the differences were statistically significant (P<0.05).The Division condition，tumor calcification foci，cystic wall features and the maximum cystic diameter of serous cystadenoma were significantly different from those of mucinous cystadenoma/carcinoma (P<0.05).Conclusion：The CT findings of pancreatic serous cystadenoma and mucinous cystadenoma/carcinoma are different and can be diagnosed and differentiated by multislice spiral CT.
【Key words】 Multislice spiral CT； Pancreatic serous cystadenoma； Mucinous cystadenoma； Diagnostic accuracy
First-author’s address：Shunde Hospital of Southern Medical University，Foshan 528300，China
doi：10.3969/j.issn.1674-4985.2018.23.031, http://www.100md.com(杨尊帅 胡秋根 杨少民)
【关键词】 多层螺旋CT； 胰腺浆液性囊腺瘤； 黏液性囊腺瘤； 诊断准确性
, http://www.100md.com
Accuracy of Multislice Spiral CT in the Diagnosis of Serous Cystadenoma，Mucinous Cystadenoma and Mucinous Cystadenocarcinoma of the Pancreas/YANG Zunshuai，HU Qiugen，YANG Shaomin，et al.//
Medical Innovation of China，2018，15(23)：-121
【Abstract】 Objective：To explore the accuracy of multislice spiral CT in the diagnosis of serous cystadenoma，mucinous cystadenoma and mucinous cystadenocarcinoma of the pancreas.Method：A total of 60 patients with pancreatic cystadenoma admitted from April 2014 to June 2017 in our hospital as the research objects，all patients were given multislice spiral CT diagnosis，the tumor location，housing situation，calcification and CT signs of pancreatic serous cystadenoma，mucinous cystadenoma/carcinoma were compared.
, 百拇医药
Result：The diagnostic accuracy of multislice spiral CT in pancreatic serous cystadenoma was 75.0% (18/24)，and the diagnostic accuracy of mucinous cystadenoma/carcinoma was 88.9% (32/36).6 cases of serous cystadenoma were misdiagnosed as mucinous cystadenoma，and 4 cases of mucinous cystadenoma/carcinoma were misdiagnosed as serous cystadenoma.Serous cystadenoma was more concentrated in the pancreatic head and neck area， accounting for 75.0% (18/24)，mucinous cystadenoma/cancer position concentrated in the body and tail of the pancreas，accounted for 66.7% (24/36)，the differences were statistically significant (P<0.05).The Division condition，tumor calcification foci，cystic wall features and the maximum cystic diameter of serous cystadenoma were significantly different from those of mucinous cystadenoma/carcinoma (P<0.05).Conclusion：The CT findings of pancreatic serous cystadenoma and mucinous cystadenoma/carcinoma are different and can be diagnosed and differentiated by multislice spiral CT.
【Key words】 Multislice spiral CT； Pancreatic serous cystadenoma； Mucinous cystadenoma； Diagnostic accuracy
First-author’s address：Shunde Hospital of Southern Medical University，Foshan 528300，China
doi：10.3969/j.issn.1674-4985.2018.23.031, http://www.100md.com(杨尊帅 胡秋根 杨少民)