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目的通过分析慢性胰腺炎与胰腺癌的CT征象,探讨其二者的主要鉴别点,从而提高对慢性胰腺炎与胰腺癌的鉴别诊断。方法对已经过临床确诊的32例胰腺癌和45例慢性胰腺炎的患者的CT直接与间接征象进行回顾性分析。结果患者的CT直接与间接征象联系起来可以区别诊断胰腺癌和慢性胰腺炎。结论CT影像学为鉴别慢性胰腺炎与胰腺癌的有力方法,关键在于对其直接与间接征象联系起来并进行全面分析,并结合临床,以提高对两者的诊断准确率。
Objective To analyze the CT signs of chronic pancreatitis and pancreatic cancer and explore their main distinguishing points so as to improve the differential diagnosis of chronic pancreatitis and pancreatic cancer. Methods The direct and indirect CT findings of 32 patients with clinically diagnosed pancreatic cancer and 45 patients with chronic pancreatitis were retrospectively analyzed. Results Patients with CT directly associated with indirect signs can distinguish between pancreatic cancer and chronic pancreatitis. Conclusions CT imaging is a powerful method to differentiate between chronic pancreatitis and pancreatic cancer. The key point is to link the direct and indirect signs and to conduct a comprehensive analysis and to improve the diagnostic accuracy of both.