| 胰腺癌与反复发作性胰腺炎的临床及CT鉴别诊断 |
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| 引用本文： | 梁秀梅. 胰腺癌与反复发作性胰腺炎的临床及CT鉴别诊断[J]. 重庆医学, 2011, 40(28): 2833-2835. DOI: 10.3969/j.issn.1671-8348.2011.28.010 |
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| 作者姓名： | 梁秀梅 |
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| 作者单位： | 梁秀梅 (重庆市第五人民医院放射科,400062) ； |
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| 摘 要： | 目的分析胰腺癌与反复发作性胰腺炎的临床及CT征象,旨在提高对胰腺癌的认识,减少胰腺癌的误诊。方法回顾性分析2008年9月至2010年8月经临床病理证实的13例胰腺癌(胰腺癌组)与21例反复发作性胰腺炎(胰腺炎组)的临床及CT资料。结果 (1)胰腺癌组与胰腺炎组入院时及24 h后查血清淀粉酶差异均无统计学意义(P>0.05)。(2)胰腺癌组CT表现多为胰腺局限性增大并肿块状或结节状持续弱强化,胰腺炎组多表现为非肿块不均匀性弱强化。(3)胰腺癌组6例与胰腺炎组8例胰管扩张,胰腺癌组5例扩张胰管于病变区突然中断,胰腺癌组1例与胰腺炎组8例扩张胰管贯通病变区(P<0.05)。(4)胰腺癌组8例与胰腺炎组2例胰周淋巴结增大(P<0.05),胰腺癌组6例出现胰周血管改变,胰腺炎组无胰周血管改变。结论胰腺癌与反复发作性胰腺炎酶学改变相似,不具鉴别价值;胰腺癌与反复发作性胰腺炎CT征象各有特点,CT检查能为两者鉴别提供重要依据。
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| 关 键 词： | 胰腺肿瘤 胰腺炎 体层摄影术,X线计算机 |
The clinical manifestations and CT differential diagnosis of pancreatic carcinoma and recurrent pancreatitis |
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| Liang Xiumei. The clinical manifestations and CT differential diagnosis of pancreatic carcinoma and recurrent pancreatitis[J]. Chongqing Medical Journal, 2011, 40(28): 2833-2835. DOI: 10.3969/j.issn.1671-8348.2011.28.010 |
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| Authors: | Liang Xiumei |
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| Affiliation: | Liang Xiumei(Department of Radiology,the Fifth People′s Hospital of Chongqing,Chongqing 400062,China) |
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| Abstract: | Objective To raise awareness and decrease the misdiagnosis of pancreatic carcinoma by studying the clinical and CT findings of pancreatic carcinoma and recurrent pancreatitis.Methods Clinical manifestations and CT findings of 34 histologically confirmed cases(13 cases with pancreatic carcinomas and 21 with recurrent pancreatitis)from 9,2008 to 8,2010 were studied retrospectively.Results(1)Compared with recurrent pancreatitis group,the serum amylase had no significant difference in pancreatic carcinoma group... |
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| Keywords: | pancreatic neoplasms pancreatitis tomography X-ray computed |
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