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胰腺癌的发病率依然较高,为了提高诊断水平,特收集经病理证实的37例胰腺病变,对其CT表现及诊断问题作一探讨。资料及方法37例中男性18例,女性19例。年龄6~81岁,平均55岁。主要临床表现为上腹疼痛,上腹包块、消瘦、黄疸。本组证实为胰腺癌28例,胰头炎症2例,胰尾炎症1例,CT诊断为胰腺癌而手术病理证实为胰腺恶性淋巴癌3例。CT诊断为胰腺囊腺癌3例,其中2例穿刺病理证实为慢性胰腺炎囊液,1例经手术病理证实为坏死性胰腺炎。CT确诊率为83．8%,
The incidence of pancreatic cancer is still high. In order to improve the diagnostic level, 37 cases of pathologically confirmed pancreatic lesions were collected to investigate their CT findings and diagnosis. Data and Methods 37 cases were 18 males and 19 females. Age 6 to 81 years, average 55 years old. The main clinical manifestations of abdominal pain, abdominal mass, weight loss, jaundice. The group confirmed 28 cases of pancreatic cancer, pancreatic head inflammation in 2 cases, pancreatic tail inflammation in 1 case, CT diagnosis of pancreatic cancer and surgical pathology confirmed pancreatic malignant lymphoma in 3 cases. CT diagnosis of pancreatic cystadenocarcinoma in 3 cases, including 2 cases of puncture pathology confirmed the cyst fluid of chronic pancreatitis, 1 case confirmed by pathology necrotizing pancreatitis. The CT diagnosis rate was 83.8%.