摘要
本文对70例胰腺癌和61例慢性胰腺炎进行了比较研究,分析了两者的CT 征象.除了转移征象和炎症特异性继发征象外,胰腺癌和慢性胰腺炎的表现都是相对特征性的,两者可以有相似的表现,所以在鉴别良恶性病变时,必须把胰腺肿块与继发征象的特征结合起来全面分析,才能正确地做出鉴别诊断.本组胰腺癌、慢性胰腺炎CT 的确诊率分别为95.7%和95.1%.在癌组中,2例不能定型性,1例误诊为慢性炎症.在炎症组中,3例误诊为胰腺癌。作者认为CT 是目前最有效的方法,CT 与其他检查方法联合使用能提高诊断的准确性.
In this paper,70 cases of pancreatic car-cinoma and 61 cases of chronic pancreatitiswere comparatively studied,CT findings ofboth were analysed.The findings of pancreaticcarcinoma and chronic pancreatitis are ralative-ly specific and may have similarities.For dif-ferentiating benign from malignant lesions,it isnecessary to combin the characteristics of mass-es with the secondary findings for the completeanalysis so as to establish the correctdiagnosis.The accuracy of CT diagnosis of pancrea-tic carcinoma and chronic panreatitis in our se-ries was 95.7% and 95.1% respectively.Ingroup of pancreatic carcinoma,indeterminatediagnosis was made in 2 cases,and 1 case wasmisdiagnosod as chronic pancreatitis.3 cases ofchronic pancreatitis were misdiagnosed as carci-noma.Authors consider that CT is now themost effective method in the examination ofpancreatic diseases and use of CT combiningwith other methods is generally led to a moreaccurate diagnosis.
出处
《临床放射学杂志》
CSCD
北大核心
1992年第4期182-185,T026,共5页
Journal of Clinical Radiology