胰腺囊性病变的CT鉴别诊断

目的 探讨胰腺囊性病变的CT鉴别诊断。资料与方法 回顾性研究17例经手术及病理确诊的胰腺囊性病变的CT影像学特点，结合临床及病理特征，以此作为鉴别诊断的依据。结果 囊腺肿瘤6例，非功能性胰岛细胞肿瘤4例，胰腺癌囊变3例，胰腺癌合并囊肿2例，假性囊肿2例。结论 胰腺囊性病变的CT鉴别诊断须综合判断，除了分析囊壁的形态及分离等CT表现外，还应结合临床资料。

CT Differential Diagnosis of the Cystic Lesions of the Pancreas

Objective To study CT differential diagnosis of the cystic lesions of the pancreas.Materials and Methods CT features, clinical manifestations and pathological results in 17 patients with pathologically proved pancreatic cystic lesions were retrospectively analyzed.Results The pancreatic cystic lesions in this study included cystadenoma or cystadenocarcinoma (n=6), non functional islet cell tumor (n=4), cystic degeneration of pancreatic carcinoma (n=3), pancreatic carcinoma accompanied with cyst (n=2) and pancreatic pseudocyst (n=2). Conclusion In differentiating pancreatic cystic lesions with CT scan, overall observation and analysis of the imaging signs, including the configuration of the cystic wall and septation, etc. are necessary, besides, clinical data should also be taken into account.