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目的:探讨在自身免疫性胰腺炎诊断过程中选择超声检查的临床价值。方法:研究时期为2014年3月至2016年10月,共选择患者17例,经临床确诊均为自身免疫性胰腺炎,为其采用超声技术进行检查,并记录患者超声检测图像的特点。在同一时间内选出30例健康体检者,也对其胰腺进行超声检查,对比两组受检者胰腺基本数据。结果:患者超声影像中胰腺体积均明显增加,其中13例患者腺体弥漫性重大、2例为胰腺头部局限性重大、2例为尾部局限性重大。患者中15例腺体内回声强度低于1级,另外2例为2级,且所有患者均具有假包膜影像。同时患者胰腺头部长度为(2.53±0.51)cm,明显高于健康人群(1.27±0.16)cm,且患者胰腺主体和尾部长度均高于健康人群,两组数据差异具有统计学意义(P<0.05)。结论:利用超声技术可有效诊断自身免疫性胰腺炎,且患者超声影像与健康人群存在明显差异。
Objective: To explore the clinical value of selective ultrasound in the diagnosis of autoimmune pancreatitis. Methods: The study period was from March 2014 to October 2016. A total of 17 patients were selected. All the patients were diagnosed as autoimmune pancreatitis by clinical diagnosis. The patients were examined by ultrasound and the characteristics of ultrasound images were recorded. At the same time selected 30 cases of healthy people, but also on the pancreas for ultrasound examination, the two groups of subjects compared pancreatic basic data. Results: The volume of pancreas in patients with ultrasound was significantly increased. Among them, 13 patients had diffuse glandular glands, 2 had severe limitations in the head of the pancreas, and 2 had limited caudal limitations. Echogenicity of the glands in 15 of the patients was lower than grade 1, and the other two were grade 2, and all patients had pseudocapsule images. At the same time, the length of the head of the pancreas was (2.53 ± 0.51) cm, which was significantly higher than that of the healthy people (1.27 ± 0.16) cm. The length of the main body and the tail of the pancreas were all higher than those in the healthy people. There was significant difference between the two groups (P < 0.05). Conclusion: The use of ultrasound can be an effective diagnosis of autoimmune pancreatitis, and patients with ultrasound imaging and healthy population there is a significant difference.