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目的分析慢性胰腺炎的CT表现。方法搜集经临床或手术证实的慢性胰腺炎25例,对其CT直接征象和间接征象进行分析。结果25例慢性胰腺炎中,5例胰腺弥漫性肿大,7例胰腺局限肿大,11例见胰腺实质钙化或胰管内结石,9例示左侧肾前筋膜增厚,3例胰周脂肪层条片状密度增高,13例胰腺萎缩,6例胰管呈串珠状、囊状、不规则状扩张,此胰管扩张为慢性胰腺炎特征表现之一;局限性胰腺肿块,增强后均匀及持续强化,此强化特点为与胰腺癌的鉴别要点之一。结论慢性胰腺炎临床诊断较为困难,CT对其诊断具有重要价值。
Objective To analyze the CT findings of chronic pancreatitis. Methods Twenty-five cases of chronic pancreatitis confirmed by clinical or surgical operation were collected and their direct and indirect signs of CT were analyzed. Results Among the 25 cases of chronic pancreatitis, 5 cases had diffuse pancreas, 7 cases had enlarged pancreas, 11 cases had pancreatic parenchymal calcification or pancreatic ductal calculi, 9 cases showed thickening of left anterior fascia, 3 cases of pancreatic fat The density of lamellar slices increased, 13 cases of pancreatic atrophy, 6 cases of beaded pancreatic duct, cystic, irregular expansion, the expansion of the pancreatic duct is one of the characteristics of chronic pancreatitis; localized pancreatic mass, enhanced and uniform Continued to strengthen, this enhancement features and identification of pancreatic cancer one of the points. Conclusion The clinical diagnosis of chronic pancreatitis is more difficult, CT is of great value in the diagnosis.