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目的:分析临床鉴别诊断自身免疫性胰腺炎与胰腺癌中CT的应用价值。方法:选择该院2013年1月至2015年10月收治的自身免疫性胰腺炎患者23例,以及同期收治的经病理证实的胰腺癌患者23例,均给予CT检查,对比两组患者的CT检查结果。结果:经过对比可知,自身免疫性胰腺炎在胰腺肿胀、弥漫性强化减低,局灶性密度减低,被膜样边缘,血管受侵犯,胰管截断,肾脏受累方面与胰腺癌存在统计学意义(P<0.05);在钙化、假囊肿形成、胰管不规则狭窄及扩张方面无统计学意义(P>0.05)。结论:临床鉴别诊断自身免疫性胰腺炎与胰腺癌时,CT检查具有良好的诊断价值,可提升临床诊断的正确性。
Objective: To analyze the clinical value of differential diagnosis of CT in the diagnosis of autoimmune pancreatitis and pancreatic cancer. Methods: Twenty-three patients with autoimmune pancreatitis admitted from January 2013 to October 2015 in our hospital and 23 patients with pathologically confirmed pancreatic cancer were enrolled in this study. CT was compared between the two groups test result. Results: After comparison, we found that there was statistical significance in pancreatic cancer with pancreatic swelling, diffuse enhancement, focal density reduction, pericardial border, vascular invasion, pancreatic duct truncation and renal involvement (P <0.05). There was no significant difference in calcification, pseudocyst formation, irregular pancreatic duct stenosis and dilatation (P> 0.05). Conclusion: CT is a good diagnostic value in the differential diagnosis of autoimmune pancreatitis and pancreatic cancer, which can improve the correctness of clinical diagnosis.