CT引导下经皮穿刺胰腺病变的诊断价值

目的:探讨CT引导下经皮腹腔穿刺胰腺病变的诊断价值.方法:经由B超、CT或MRI等影像检查发现的33例胰腺病变进行CT引导下穿刺活检.结果:33例病例中,30例取得阳性病理结果,阳性率占92.1%;其中胰腺癌20例,占66.7%;慢性胰腺炎4例,占13.3%;结核2例,占6.7%;恶性间质瘤2例,占6.7%;平滑肌瘤1例,占3.3%;恶性生长抑素瘤1例,占3.3%.结论:CT引导下胰腺穿刺活检术是一种安全、准确的微创影像学诊断技术.

Diagnosis value of pathological changes in the pancreas under computed tomography guidance after skin puncture

AIM:To discusses the diagnosis value of pathological changes in the pancreas under computed tomography(CT)guidance after abdominal skin puncture. METHODS:Thirty-three cases of pancreatic le- sions revealed by ultrasound,CT or magnetic resonance imaging underwent CT-guided bi- opsy RESULTS:Of the 33 cases,30(92.1%)had positive pathological findings;20(66.7%)with pancreatic cancer,4(13.3%)with chronic pancre- atitis,2(6.7%)with tuberculosis,2(6.7%)with aggressive stromal tumors,1(3.3%)with leio- myoma,and 1(3.3%)with a somatostatin malig- nant tumor. CONCLUSION:CT-guided biopsy of the pan- creas is a safe,accurate and minimally invasive diagnostic imaging technique.