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目的探讨胰腺黏液性囊性肿瘤的超声表现与诊断。方法对2000年6月至2008年12月中山医院外科手术病理证实的29例胰腺黏液性囊性肿瘤的超声表现进行回顾性分析。结果超声表现囊性或囊性为主22例,囊实性实性为主5例,实性2例;病理诊断良性20例,交界性4例,恶性5例;超声诊断良性病变12例,恶性病变6例,良恶性诊断符合率72.4%(21/29),其中9例诊断囊腺瘤。结论胰腺黏液性囊性肿瘤的超声声像图表现多样,图像典型时超声可作出正确诊断,声像图表现不典型时要诊断黏液性囊性肿瘤及其良恶性确有困难。
Objective To investigate the ultrasound findings and diagnosis of pancreatic mucinous cystic tumors. Methods A retrospective analysis was performed on the ultrasound findings of 29 cases of mucinous cystic tumors of the pancreas from June 2000 to December 2008 in Zhongshan Hospital. Results Ultrasound showed cystic or cystic mainly in 22 cases, cystic solid in 5 cases, solid in 2 cases; benign pathological diagnosis in 20 cases, borderline in 4 cases, malignant in 5 cases; ultrasound in benign lesions in 12 cases, Malignant lesions in 6 cases, benign and malignant diagnostic coincidence rate of 72.4% (21/29), of which 9 cases of diagnosis of cystadenoma. Conclusions The sonography of mucinous cystic neoplasms in pancreatic pancreas shows diverse features. Ultrasound can make correct diagnosis when the image is typical, and it is difficult to diagnose the mucinous cystic neoplasm and its benign and malignant tumors when the sonogram is not typical.