[1]王宇路,王苏平,赵雪梅,等.磁共振胰胆管成像对肿块型胰腺炎与胰腺癌的诊断价值[J].医学信息,2021,34(13):176-178.[doi:10.3969/j.issn.1006-1959.2021.13.049]
　WANG Yu-lu,WANG Su-ping,ZHAO Xue-mei,et al.The Value of Magnetic Resonance Cholangiopancreatography in the Differential Diagnosis of Mass Forming ChronicPancreatitis and Pancreatic Cancer[J].Medical Information,2021,34(13):176-178.[doi:10.3969/j.issn.1006-1959.2021.13.049]
点击复制

磁共振胰胆管成像对肿块型胰腺炎与胰腺癌的诊断价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年13期
页码:
176-178
栏目:
诊疗技术
出版日期:
2021-07-01

文章信息/Info

Title:
The Value of Magnetic Resonance Cholangiopancreatography in the Differential Diagnosis of Mass Forming ChronicPancreatitis and Pancreatic Cancer
文章编号:
1006-1959（2021）13-0176-03
作者:
王宇路; 王苏平; 赵雪梅; 等
（安徽医科大学第一附属医院放射科，安徽 合肥 230032）
Author(s):
WANG Yu-lu; WANG Su-ping; ZHAO Xue-mei; et al.
(Department of Radiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,Anhui,China)
关键词:
分支胰管; 肿块型胰腺炎; 胰腺癌; 磁共振胰胆管成像
Keywords:
Branch pancreatic duct; Mass forming chronic pancreatitis; Pancreatic cancer; Magnetic resonance cholangiopancreatography
分类号:
R735.9；R445.2
DOI:
10.3969/j.issn.1006-1959.2021.13.049
文献标志码:
A
摘要:
目的 比较肿块型胰腺炎（MFCP）与胰腺癌（PC）患者的磁共振胰胆管成像（MRCP）图像中分支胰管扩张的差异，以期为两者的鉴别诊断提供参考。方法 选取2016年2月~2020年5月我院23例MFCP患者与49例PC患者的MRCP图像，比较二者分支胰管扩张的部位、形态、数目及程度差异。结果 MFCP出现钩突部分支胰管扩张、分支胰管呈囊状扩张占比多于PC，差异有统计学意义（P＜0.05）；MFCP扩张分支胰管数目、出现管径≥1.5 mm病例数、管径≥1.5 mm分支胰管数及≥1.5 mm分支胰管管径与PC比较，差异无统计学意义（P＞0.05）。结论 MFCP与PC分支胰管扩张的不同表现尤其是钩突部分支胰管扩张的差异在两者的鉴别诊断中存在一定价值。
Abstract:
Objective To compare the dilatation of branch pancreatic ducts in magnetic resonance cholangiopancreatography (MRCP) images of patients with mass forming chronic pancreatitis(MFCP) and pancreatic cancer (PC), in order to provide a reference for the differential diagnosis of the two.Methods The MRCP images of 23 MFCP patients and 49 PC patients in our hospital from February 2016 to May 2020 were selected to compare the location, shape, number and degree of dilatation of the branch pancreatic duct between the two groups.Results In MFCP, the uncinate process part of the pancreatic duct dilated and the branch pancreatic duct showed cystic dilatation accounted for more than PC ,the difference was statistically significant (P＜0.05);The number of MFCP dilated branch pancreatic ducts, the number of cases with a diameter≥1.5 mm,The number of branch pancreatic ducts with diameter ≥1.5 mm and the number of branch pancreatic ducts with diameter≥1.5 mm were not statistically different from those of PC (P>0.05).Conclusion The different manifestations of MFCP and PC branch pancreatic duct dilatation, especially the difference of the uncinate process partial pancreatic duct dilatation, have certain value in the differential diagnosis of the two.

参考文献/References:

[1]陆建平,边云.基于多学科协作的胰腺肿块影像诊断思路[J].放射学实践,2017,32(9):909-917. [2]Wolske KM,Ponnatapura J,Kolokythas,et al.Chronic Pancreatitis or Pancreatic Tumor? A Problem-solving Approach[J].Radiographics,2019,39(7):1965-1982. [3]印隆林,潘艳霞,陈加源,等.MRI联合序列检查在胰腺癌与慢性肿块型胰腺炎鉴别诊断中的鉴别诊断中的价值探讨[J].四川医学,2015,36(3):410-414. [4]Yin Q,Zou X,Zai X,et al.Pancreatic ductal adenocarcinoma and chronic massforming pancreatitis: Diferentiation with dual-energy MDCT in spectral imaging mode[J].Eur J Radiol,2015,84(12):2470-2476. [5]Zakaria HM,Mohamed A,Alsebaey A,et al.Prognostic factors following pancreaticoduodenectomy for pancreatic ductal adenocarcinoma[J].Int Surg J,2018,5(12):3887-3882. [6]常晓燕,陈杰.胰腺导管内肿瘤的病理学诊断[J].中华病理学杂志,2016(3):201-204. [7]陆建平,边云.胰腺导管腺癌典型及变异影像与病理对照[J].放射学实践,2017,32(9):897-905. [8]舒健,张小明,赵建农,等.磁共振胰胆管成像对正常胰管的评价[J].中国医学影像技术,2006(4):584-587. [9]Schima W,Bohm G,Rosch CS,et al.Mass-forming pancreatitis versus pancreatic ductal adenocarcinoma: CT and MR imaging for differentiation[J].Cancer Imaging,2020,20(1):52. [10]Jee KN.Mass forming chronic pancreatitis mimicking pancreatic cystic neoplasm: A case report[J].World J Gastroenterol,2018,24(2):297-302. [11]Negrelli R,Manfredi R,Pedrinolla B,et al.Pancreatic duct abnormalities in focal autoimmune pancreatitis: MR/MRCP imaging findings[J].Eur Radiol,2015,25(2):359-367. [12]Boninsegna E,Manfredi R,Negrelli R,et al.Pancreatic duct stenosis: differential diagnosis between malignant and benignconditions at secretin-enhanced MRCP[J].Clinical Imagine,2017(41):137-143. [13]李亮,袁家长,靳二虎,等.磁共振胆胰管成像显示分支胰管扩张的意义[J].国际医学放射学杂志,2009,32(2):109-111. [14]宋维通,韩鹏,杨献峰,等.2D MRCP与3D MRCP磁共振胰胆管成像技术对比分析[J].影像研究与医学应用,2019,3(23):87-89.

相似文献/References:

[1]周国斌,柳登平.磁共振和经腹部彩超对胰腺癌与肿块型胰腺炎的鉴别诊断价值分析[J].医学信息,2022,35(17):99.[doi:10.3969/j.issn.1006-1959.2022.17.026]
　ZHOU Guo-bin,LIU Deng-ping.Value of Magnetic Resonance and Transabdominal Ultrasonography in Differential Diagnosis of Pancreatic Carcinoma and Mass-type Pancreatitis[J].Medical Information,2022,35(13):99.[doi:10.3969/j.issn.1006-1959.2022.17.026]

更新日期/Last Update: 1900-01-01