| 郑龙嵋,周和平,朱亚男,姚 俊,张 明.非典型局限性胰腺脂肪沉积的CT诊断[J].,2017,17(32):6358-6361 |
| 非典型局限性胰腺脂肪沉积的CT诊断 |
| CT Diagnosis of Atypical Localized Pancreatic Fat Deposition |
| 投稿时间：2017-05-10 修订日期：2017-06-20 |
| DOI：10.13241/j.cnki.pmb.2017.32.035 |
| 中文关键词: CT扫描 胰腺脂肪沉积 鉴别诊断 |
| 英文关键词: CT scanning Pancreatic fat deposition Differential diagnosis |
| 基金项目:陕西省自然科学基金项目(SJ08A25） |
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| 中文摘要: |
| 摘要 目的：研究探讨CT扫描检查对非典型局限性胰腺脂肪沉积的应用价值。方法：选择2013年1月~2016年12月期间我院消化内科收治的非典型局限性胰腺脂肪沉积患者42例为观察组，同时期在本院进行健康体检的50例正常人群为对照组。比较两组受试者的CT扫描检查结果。结果：观察组患者在普通CT结果显示胰腺形态和大小未改变，胆总管无扩张现象，增强CT扫描显示胰腺内有均匀的低密度影出现。观察组增强CT的动脉、静脉、延时期的扫描值分别为(68.19±2.01)、(44.34±3.52)、(36.28±4.96)，对照组分别为(90.39±4.67)、(83.37±6.02)、(66.08±5.91)，组间比较有显著差异性(P<0.05)。结论：采用普通CT结合增强CT扫描检查可以准确诊断非典型局限性胰腺脂肪沉积的发病，能够较好的对该病作出诊断与鉴别诊断，但应注意与其他胰腺疾病进行鉴别区分。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the application value of CT scanning in the atypical localized pancreatic fat deposition. Methods: 42 cases of patients with atypical localized pancreatic fat deposition treated in the gastroenterology department of our hospital from January 2013 to December 2016 were selected as the observation group, and another 50 cases of normal people with health examination at the same time period in our hospital were enrolled in the control group. The CT scanning results of the two groups were compared. Results: The results of routine CT showed that the shape and size of the pancreas were unchanged, and there was no dilatation in the common bile duct while the enhanced CT scanning showed there was a homogeneous low density shadow in the pancreas in the observation group. There were significant differences between the observation group and the control group in the scanning values of the artery, vein and the delay time of enhanced CT [(68.19±2.01) vs.(90.39±4.67), (44.34±3.52) vs. (83.37±6.02) , (36.28± 4.96) vs. (66.08±5.91)] (P<0.05). Conclusion: Common CT combined with enhanced CT scanning can accurately diagnose the attack of atypical localized pancreatic fat deposition, and can be used to diagnose this disease with differential diagnosis, but attention should be paid to distinguishing this from other pancreatic diseases. |
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