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胰腺囊性病变的影像学表现

李震, 胡道予

李震, 胡道予. 胰腺囊性病变的影像学表现[J]. 中华消化外科杂志, 2013, 12(2): 151-155. DOI: 10.3760/cma.j.issn.1673-9752.2013.02.017
引用本文: 李震, 胡道予. 胰腺囊性病变的影像学表现[J]. 中华消化外科杂志, 2013, 12(2): 151-155. DOI: 10.3760/cma.j.issn.1673-9752.2013.02.017
LI Zhen, HU Dao yu. Imaging presentation of pancreatic cystic lesions[J]. Chinese Journal of Digestive Surgery, 2013, 12(2): 151-155. DOI: 10.3760/cma.j.issn.1673-9752.2013.02.017
Citation: LI Zhen, HU Dao yu. Imaging presentation of pancreatic cystic lesions[J]. Chinese Journal of Digestive Surgery, 2013, 12(2): 151-155. DOI: 10.3760/cma.j.issn.1673-9752.2013.02.017

胰腺囊性病变的影像学表现

基金项目: 国家自然科学基金(81271529)

Imaging presentation of pancreatic cystic lesions

  • 摘要:
    随着CT和MRI检查新技术的发展,胰腺囊性病变逐渐被临床医师认识和了解。胰腺囊性肿瘤和假性囊肿的鉴别是诊断的重点。胰腺假性囊肿患者一般具有急慢性胰腺炎病史,而胰腺囊性肿瘤没有胰腺炎病史。部分胰腺囊性肿瘤缺乏影像学特征性,在临床上常常难以鉴别。胰腺囊性病变按照CT和MRI检查的特点分为单囊性病变、微囊性病变、大囊性病变和囊实性病变。这一分型系统有助于诊断和鉴别诊断,并可以指导治疗方案和判断预后,具有重要的临床价值。
    Abstract:
    Pancreatic cystic lesions are being recognized increasingly due to the development of computed tomography and magnetic resonance imaging. Differential diagnosis between pseudocysts and cystic tumors is the key point for pancreatic cystic lesions. Patients with pancreatic pseudocysts generally have a history of acute or chronic pancreatitis, whereas patients with cystic tumors did not have such a history. Some pancreatic cystic lesions did not have typical imaging presentations, and they were difficult to be diagnosed. Pancreatic cystic lesions could be divided into unilocular cysts, microcystic lesions, macrocystic lesions and cysts with a solid component according to the presentations under computed tomography and magnetic resonance imaging. This typing system is helpful for the diagnosis and differential diagnosis of pancreatic cystic tumors, as well as for the guidance of therapy.
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