胰腺实性―假乳头状瘤CT诊断临床研究.docVIP

胰腺实性―假乳头状瘤CT诊断临床研究 　　[摘要] 目的 讨论胰腺实性-假乳头状瘤的CT诊断的临床效果，为日后的临床诊断提供参考。 方法 选择2013年2月～2014年3月经过手术病理证实的胰腺实性-假乳头状瘤患者23例为研究对象，通过对患者的资料进行分析，研究CT诊断。 结果 在23例胰腺实性-假乳头状瘤患者中，男性患者共计3例，女性患者共计20例。通过对患者实施CT诊断，发现平扫患者肿瘤部位时，主要是呈现出混杂密度结节或者是团块影。对患者增强CT扫描后，发现患者的胰腺实性-假乳头状瘤，其在实性部分能够见到延迟的强化，但是在囊性部分没有明显的变化。 结论 胰腺实性-假乳头状瘤患者临床表现较为突出，对患者实施CT诊断，能够了解患者的肿瘤形态、严重程度，可为临床治疗搜集足够的参考资料和相关数据。CT诊断具有一定的特异性，可以与其他的诊断手段相结合，更好的判定患者胰腺实性-假乳头状瘤的情况。 　　[关键词] 胰腺实性-假乳头状瘤；CT；诊断 　　[中图分类号] R735.9 [文献标识码] B [文章编号] 2095-0616（2015）24-109-03 　　[Abstract] Objective To discuss the clinical effect of CT in the diagnosis of solid pancreatic tumor of the pancreas， and to provide a reference for clinical diagnosis. Methods 23 patients with pathologically confirmed pancreatic solid papillary tumor in February 2013 were selected as the research object and the data were analyzed by CT. Results In the 23 cases of pancreatic solid-true papillary tumor，there were 3 cases of male patients and 20 cases of female patients.CT diagnosis was performed in patients with the tumor location， which was found to be a mixed density of nodules or masses.In patients with enhanced CT scan，the patients were found to have a solid cystic tumor of the pancreas，which can be seen in the real part of the enhancement，but there was no obvious change in the cystic part. Conclusion Pancreatic solid pseudopapillary tumor patients clinical performance of the more prominent，in patients with implementation of CT diagnosis and to understand the patient’s tumor morphology，severity，can collect enough reference data and the related data for the clinical treatment.CT diagnosis with a certain specificity，can be combined with other diagnostic methods to better determine the patient’s pancreatic solid-false papilloma case. 　　[Key words] Solid pancreatic tumor；CT；Diagnosis 　　从临床上来讲，胰腺实性-假乳头状瘤是一种比较少见的恶性肿瘤，其对患者的身体伤害非常严重，致死率较高，其组织来源不清，约占胰腺所有肿瘤的2.3%左右。以往的诊断都是通过手术病理来确诊，虽然准确率较高，但给患者造成了较大的创伤，且不利于后续的进一步病情分析[1-3]。CT诊断是临床比较常用的诊断方法，但由于胰腺实性-假乳头状瘤存在一定的特殊性，因此是否有效还需要进一步研究[4]。本研究主要对胰腺实性-假