衣家奇 王海阳

    【摘要】 目的：對比磁共振成像(MRI)增强扫描和多层螺旋CT(MSCT)在胰腺癌术前评估及诊断中的价值。方法：选取2020年2月-2022年6月于佳木斯市中心医院就诊的103例疑似胰腺癌患者纳入研究，所有患者均于入院行MRI增强扫描和MSCT检查，以病理学结果为金标准，对比MRI增强扫描和MSCT的术前评估效能和诊断价值。结果：经金标准诊断，103例患者中共69例为胰腺癌，34例为良性占位病变。MRI增强扫描的敏感度为88.41%，特异度为94.12%，准确度为90.29%。MSCT检查的敏感度为92.75%，特异度为91.18%，准确度为92.23%。两种方式敏感度、特异度、准确度比较，差异均无统计学意义(P>0.05)。对确诊的69例患者的分期结果进行分析，MRI增强扫描、MSCT的诊断结果分别与金标准比较，差异均无统计学意义(P>0.05)。结论：MRI增强扫描与MSCT应用于胰腺癌诊断中的效果均较好，且不具备明显差异，对于术前分期有较好的评估作用，临床应用时可根据二者各自特点和现实情况进行选用，以期为治疗方案提供科学依据。

    【关键词】 胰腺癌 MRI增强扫描 多层螺旋CT 术前评估 诊断价值

    [Abstract] Objective： To compare the value of MRI dynamic contrast-enhanced and multilayer spiral CT (MSCT) in the preoperative evaluation and diagnosis of pancreatic cancer. Method： A total of 103 patients with suspected pancreatic cancer admitted to Jiamusi Central Hospital from February 2020 to June 2022 were selected for inclusion in the study. All patients underwent MRI dynamic contrast-enhanced and MSCT examination on admission. The efficacy and diagnostic value of preoperative evaluation of MRI dynamic contrast-enhanced and MSCT were compared using pathological findings as the gold standard. Result： According to the gold standard diagnosis ......