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目的:总结胰腺癌在磁共振(MRI)的表现,探讨MRI诊断胰腺癌的价值。方法:回顾性分析56例胰腺癌患者的MRI资料,与手术及病理结果对照,总结磁共振诊断胰腺癌的经验。结果:本组56例胰腺癌患者31例行手术治疗,术后病理确诊腺癌26例,腺鳞癌5例。25例因淋巴结转移或远处脏器转移而放弃手术治疗,经病理组织活检而确诊。MRI检出53例,诊断符合率为94.6%(53/56)。误诊3例。结论:MRI检查对胰腺癌具有较高的诊断价值,可以为临床诊断和选择治疗方案提供有价值的参考依据。
Objective: To summarize the manifestations of pancreatic cancer in magnetic resonance imaging (MRI) and explore the value of MRI in the diagnosis of pancreatic cancer. Methods: The MRI data of 56 patients with pancreatic cancer were retrospectively analyzed. The results of MRI and surgery and pathology were compared. The diagnosis of pancreatic cancer by magnetic resonance imaging was summarized. Results: Totally, 56 cases of pancreatic cancer were treated by operation in 31 cases. There were 26 cases of adenocarcinoma and 5 cases of adenosquamous carcinoma. Twenty-five patients were surgically treated for lymph node metastasis or distant organ metastases, and confirmed by pathological biopsy. MRI was detected in 53 cases, the diagnostic coincidence rate was 94.6% (53/56). Misdiagnosis in 3 cases. Conclusion: MRI examination has high diagnostic value for pancreatic cancer, which can provide valuable reference for clinical diagnosis and selection of treatment.