沈海明

摘要：目的：总结胰腺癌诊断及术前评估中应用多层螺旋CT和MRI的价值。方法：抽取2020年4月～2021年4月于我院接受检查的50例疑似胰腺癌患者，对所有入选对象实施多层螺旋CT和MRI检查。结果：手术病理证实胰腺癌35例，多层螺旋CT、MRI分别检出34例和37例，假阳性分别是4例和5例。多层螺旋CT、MRI对胰腺癌的敏感度、特异度和准确度的检查结果比较，差异无统计意义（P>0.05）。结论：多层螺旋CT和MRI敏感度、特异度和准确度各有优势，在检查时需要根据患者的实际情况选择合理的影像学检查方法。

关键词：多层螺旋CT;MRI;胰腺癌

Objective： To summarize the value of multi-slice spiral CT and MRI in the diagnosis and preoperative evaluation of pancreatic cancer. Methods： 50 suspected pancreatic cancer patients who were examined in our hospital from April 2020 to April 2021 were selected， and all the subjects were examined by multi-slice spiral CT and MRI. Results： 35 cases of pancreatic cancer were confirmed by operation and pathology. 34 cases and 37 cases were detected by multi-slice spiral CT and MRI respectively. The false positive cases were 4 cases and 5 cases respectively. The sensitivity， specificity and accuracy of multi-slice spiral CT and MRI were not statistically significant （P > 0.05）. Conclusion： multi-slice spiral CT and MRI have their own advantages in sensitivity， specificity and accuracy. It is necessary to select a reasonable imaging examination method according to the actual situation of patients.

Keywords： multi-slice spiral CT; MRI; pancreatic cancer

【中圖分类号】R4  【文献标识码】A  【文章编号】1673-9026（2021）09-043-01

近年来，胰腺癌的发病率不断上升。临床报道显示，胰腺癌存活率和手术切除存活率均偏低[1]。为此，及早发现病灶并尽早接受治疗，是尤为必要的。多层螺旋CT、MRI等影像学检查方法，能够从全面角度上反映病灶相关信息，可为临床诊断及手术评估提供依据。为进一步明确多层螺旋CT与MRI在胰腺癌诊断及术前评估中的价值，本研究展开探究。

1 资料与方法

1.1一般资料

抽取2020年4月～2021年4月于我院接受检查的50例疑似胰腺癌患者，将其作为本次研究对象展开探讨。男性患者26例，女性患者24例;年龄42岁-68岁，年龄平均值（55.43±5.69）岁。纳入标准：（1）入选对象均出现不同程度的黄疸和腹痛症状;（2）入选对象均接受多层螺旋CT和MRI检查;（3）入选对象均认可研究且相关影像学资料比较完整。排除标准：（1）严重肝肾功能障碍的对象;（2）严重血液疾病或是恶性肿瘤的的对象;（3）影像学资料丢失、不全的对象。经手……