邹华

[摘要] 目的 探討核磁共振与多层螺旋CT在诊断胰腺囊性病变中的临床价值。 方法 选取2018年12月至2019年12月近一年时段内于我院接受检查的60例胰腺囊性病变患者作为研究对象，所有患者均进行核磁共振与多层螺旋CT两种检查，使用最终穿刺病理检查作为最终检查的金标准比较两种检查最终结果、病症分类以及用时时长。 结果 通过不同方式进行检测后，核磁共振在特异度中明显优于多层螺旋CT，而灵敏度及准确度却微微低于多层螺旋CT（P<0.05）;两种检查方式均有效分辨胰腺假性肿瘤、胰腺真性肿瘤等一系列疾病，组间差异无统计学意义（P>0.05）;核磁共振在检查使用时长方面长于多层螺旋CT（P<0.05）。 结论 在临床诊断胰腺囊性病变疾病过程中使用核磁共振及多层螺旋CT均具有极强的有效性，其中核磁共振检查的花费时间相对较长，但是特异度相对较高能够提供更加具象化的信息，多层螺旋CT耗时短具有极高的空间分辨率，在临床检查过程中医师应当根据患者需求选择适宜的检查方式，为后续治疗提供更加有效的治疗方式。

[关键词] 核磁共振;多层螺旋CT;诊断;胰腺囊性病变;临床价值

[中图分类号] R657.5          [文献标识码] B          [文章编号] 1673-9701（2021）13-0119-03

Comparison of the clinical value of MRI and multi-slice spiral CT in the diagnosis of cystic pancreatic lesions

ZOU Hua

Department of Medical Imaging， Jingzhou Third People′s Hospital in Hubei Province， Jingzhou   434001， China

[Abstract] Objective To explore the clinical value of MRI and multi-slice spiral CT in the diagnosis of cystic pancreatic lesions. Methods A total of 60 patients with cystic pancreatic lesions who were examined in our hospital from December 2018 to December 2019 were selected as the main subjects of this study. All patients underwent both MRI and multi-slice spiral CT examinations. The final results， disease classification， and duration of the two examinations were compared using the final puncture pathology examination as the gold standard for the final examination. Results After detection by different methods， MRI was significantly better than multi-slice spiral CT in specificity， but the sensitivity and accuracy of MRI were slightly lower than those of the multi-slice spiral CT（P<0.05）. Both examination methods were effective in distinguishing a series of diseases such as pancreatic pseudotumor and actual pancreatic tumor. The difference between the groups was not statistically significant（P<0.05）. The examination use time of MRI was longer than that of multi-slice spiral CT， and the difference was statistically significant（P<0.05）. Conclusion Both MRI and multi-slice spiral CT are extremely effective in the clinical diagnosis of cystic pancreatic disease. The MRI examination takes a relatively long time， but has a relatively high specificity， which can provide more figurative information. The multi-slice spiral CT takes a short time and has an extremely high spatial resolution. During the clinical examination process， the physician should choose the appropriate examination method according to the patient′s needs to provide more effective treatment methods for subsequent treatment.

[Key words] MRI; Multi-slice spiral CT; Diagnosis; Pancreatic cystic disease; Clinical value

胰腺囊性病变是临床中多见疾病，病变变化多样，分别为感染性、炎性及先天性引发囊性变化、胰腺周围囊性病变、外分泌性胰腺囊性病变等。胰腺囊性病变实质是由于胰腺上皮或者其他组织逐渐形成带有囊腔的病变表现，通常根据其性质将其分为良性以及恶性两种，根据其性质不同选择的治疗方式也有所差异，前者只需要进行保守治疗，而后者则需要进行手术治疗后观察具体表现进行后续治疗方案计划，因此在前期诊断过程中必须明确病症，减少对于患者的伤害，选择最合适宜的治疗方式。近年来随着多种影像学的不断研究发展，对于此类疾病的检测以及治疗均提供来看有效的支持，而最常采用的分别为核磁共振以及CT诊断方式[1-2]，两种诊断方式存在价值各异。……