摘要
目的：分析糖尿病患者的胰腺ＣＴ图像特点。方法：对正常对照组及糖尿病组各６１例作腹部ＣＴ扫描，胰区用５ｍｍ薄层扫描。所有资料分为３组：Ⅰ组为对照组；Ⅱ组为胰岛素依赖型糖尿病组；Ⅲ组为非胰岛素依赖型糖尿病组。作胰腺密度、厚度测量，胰腺分叶例数比率。结果：胰腺密度对照组与糖尿病组无统计学上的差异。胰腺分叶有意义的年龄范围为４１岁～６０岁和６１岁～７６岁。糖尿病患者的胰腺分叶例数高于对照组，糖尿病两型间尚无有意义的差别。胰腺厚度比较，糖尿病患者胰腺普遍小于对照组，胰岛素依赖型更小。结论：糖尿病患者胰腺ＣＴ密度正常、分叶增多、胰腺缩小，胰岛素治疗者较明显。对糖尿病将进行胰岛素依赖者要注意胰腺缩小的情况，胰腺ＣＴ是有用的，可起预报作用。
Objective:To analyze CT findings of the pancreas in patients with diabetics.Methods:The density, contour(smooth or lobulated),and thickness of the pancreas on CT scans of diabetic patients were analyzed,and the results were compared with those in control subjects,each group including 61 cases respectively.Three groups were Ⅰ:control subjects,Ⅱ:insulin dependent diabetic patients,Ⅲ:non insulin dependent diabetic patients.Results:The density of pancreas in diabetic patients and control subjects was not different.Diabetic patients had increased lobulation of the pancreas,especially in the age of 41 60 years and 61 70 years.The number of pancreatic lobes in diabetic patients was larger than that in the control.There was no different between two diabetic patients groups.The pancreas tended to be small in diabetic patients,especially in the patients with insulin dependent diabetic patients.Conclusion:CT of the pancreas shows a normal density,an increased lobulation,and a reduced size in diabetic patierits.Reduction in size of the pancreas is more pronounced in insulin dependent diabetic paitnets.CT may be useful to predict which diabetic patients will require insulin therapy.
出处
《中日友好医院学报》
1998年第2期109-111,共3页
Journal of China-Japan Friendship Hospital
关键词
胰腺
糖尿病
CT
pancreas
tomography,X ray computed
diabetes mellitus
