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目的探讨128层CT联合MRI在胰腺癌鉴别诊断中的临床价值。方法选取2010年1月-2012年12月在我院就诊的胰腺癌与反复发作的胰腺炎患者82例,均采用128层CT联合MRI检查,观察CT和MRI结果。结果胰腺癌与胰腺炎在128层CT检查中胰腺形态、胰腺密度和胰腺的强化特点方面具有统计学差异(P<0.05),MRI在胰腺体积、钙化情况、囊肿和淋巴结改变方面具有统计学差异(P<0.05),胰管扩张情况无统计学差异(P>0.05)。结论 128层CT联合MRI能够对胰腺癌及胰腺炎进行鉴别诊断。
Objective To investigate the clinical value of 128-slice CT combined with MRI in the differential diagnosis of pancreatic cancer. Methods Eighty-two patients with pancreatic cancer and recurrent pancreatitis who were treated in our hospital from January 2010 to December 2012 were enrolled in the study. CT and MRI findings were observed with 128-slice CT combined with MRI. Results Pancreatic cancer and pancreatitis had statistical significance (P <0.05) in pancreatic morphology, pancreatic density and pancreas enhancement characteristics in 128-slice CT. There was a significant difference in MRI between pancreas volume, calcification, cyst and lymph node changes (P <0.05). No significant difference was found in the dilatation of pancreatic duct (P> 0.05). Conclusion 128-slice CT combined with MRI can differentiate pancreatic cancer and pancreatitis.