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多排螺旋CT与MR对胰腺癌的诊断价值分析 被引量:12

The Value Analysis of Multi Slice Spiral CT and MR in the Diagnosis of Pancreatic Cancer
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摘要 目的:探讨多排螺旋CT与MR对胰腺癌的诊断价值。方法:选取2014年3月-2015年3月本院收治的胰腺癌患者88例作为研究对象,将其分为CT组和MR组,每组44例。CT组实施多排螺旋CT扫描,MR组实施动态增强MR扫描,将病理学检查结果设为金标准,比较两种检查方法对胰腺癌的诊断价值。结果:螺旋CT诊断胰腺癌的准确率是88.64%,敏感度是84.09%,特异性是77.27%;MR诊断胰腺癌的准确率是90.91%,敏感度是84.09%,特异性是75.00%,两种检查方法对胰腺癌的诊断价值比较差异无统计学意义(P>0.05)。MR组胰腺癌灶在胰腺动脉期、胰腺静脉期及胰腺延迟期的显示值均高于CT组,比较差异均有统计学意义(P<0.05)。结论:临床应用多排螺旋CT与MR增强扫描诊断胰腺癌均具有十分显著的诊断价值,临床进行诊断时只需选择两者中的其中一种即可。 Objective:To investigate the diagnostic value of multi-slice spiral CT and MR for pancreatic cancer.Method:From March 2014 to March 2015,88 cases of pancreatic cancer in our hospital were selected as the research objects,they were divided into the CT group and MR group,each group had 44 cases.The CT group was implemented multi slice spiral CT scanning and the MR group was implemented dynamic enhanced MR scan,the pathological examination results were set as gold standard,the diagnostic value of two kinds of inspection methods for pancreatic cancer were compared.Result:The accuracy of spiral CT in diagnosis of pancreatic cancer was 88.64%,sensitivity was 84.09%,specificity was 77.27%.The accuracy of MR in diagnosis of pancreatic cancer was 90.91%,sensitivity was 84.09%,specificity was 75.00%,there were no significant differences of two methods in the diagnosis of pancreatic cancer(P〉0.05).The show values of pancreatic cancer focus of MR group were higher than the CT group at the pancreatic arterial phase,venous phase and delayed phase,the differences were statistically signifivcant(P〈0.05).Conclusion:Clinical application of multi-slice CT and MR enhancement scanning in the diagnosis of pancreatic cancer all have very significant diagnostic value,only one of the two methods can be selected for clinical diagnosis.
出处 《中国医学创新》 CAS 2016年第19期45-48,共4页 Medical Innovation of China
关键词 多排螺旋CT MR 胰腺癌 诊断价值 Multi slice spiral CT MR Pancreatic Cancer Diagnostic Value
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