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目的:对使用不同影像学方法诊断胰腺癌的结果进行对比分析,阐明各种影像学方法的优缺点,并判断出其中诊断胰腺癌的最精准的影像学方法。方法:选取我院在2014年6月~2015年4月在我院进行诊治的胰腺癌患者的临床资料35例,对其采取螺旋CT、常规超声、X餐钡造影、胃肠超声造影四中不同的影像学方法进行诊断,以此分析观察其最后诊断的阳性率。结果:35例患者采取螺旋CT检查,检查出胰腺癌33例(94.3%);采取常规超声检查,发现胰腺癌患者28例(80%);采取X餐钡造影检查,查出胰腺癌患者19例(54.3%),并且检查出的19例患者的十二指肠均有损伤,黏膜稀疏变浅,管壁僵硬;35例行胃肠超声造影进行检查,查出胰腺癌患者32例(91.4%)。结论:由数据可见,螺旋CT检查中阳性率较高,是诊断胰腺癌的有效手段,准确性较高;另外胃肠超声造影这种检查手段的准确率也比较高,并且无放射性,对人体无伤害,是一种有效的诊断方式。
OBJECTIVE: To compare and analyze the results of using different imaging methods to diagnose pancreatic cancer, clarify the advantages and disadvantages of various imaging methods, and determine the most accurate imaging method for diagnosing pancreatic cancer. Methods: The clinical data of 35 patients with pancreatic cancer who were diagnosed and treated in our hospital from June 2014 to April 2015 were selected and analyzed by spiral CT, routine ultrasound, barium X-ray, IVUS Different imaging methods for diagnosis, in order to analyze the positive rate of the final diagnosis. Results: Thirty-five patients (94.3%) had pancreatic cancer detected by spiral CT and 28 patients (80%) had pancreatic cancer by routine ultrasonography. Pancreatic cancer patients were detected by X-ray barium angiography (54.3%). The duodenum of the 19 patients were found to be damaged, the mucosa was thinned and the wall of the vessel was stiff. 35 patients underwent gastrointestinal ultrasonography to detect 32 cases of pancreatic cancer (91.4 %). Conclusion: The data shows that the positive rate of spiral CT examination is high, is an effective means of diagnosis of pancreatic cancer, high accuracy; other gastrointestinal ultrasound contrast the accuracy of such means is also relatively high, and no radioactivity on the human body No harm, is an effective diagnostic method.