| 摘要: |
| 摘 要 目的 探讨胰腺导管内乳头状黏液性肿瘤（IPMN）的超声分型，旨在提高超声诊断准确率。方法 收集29例胰腺IPMN的临床与超声检查资料，分析其超声特征及诊断信息。结果 根据声像图表现不同，胰腺IPMN可分为单房囊性型（10.3%，3/29）、多房囊性型（44.8%，13/29）、实性型（17.2%，5/29）和主胰管型（27.6%，8/29）。IPMN胰管扩张，病灶与主胰管相通，乏血供。术前超声检查对多房囊性型IPMN的诊断准确率达84.6%。结论 胰腺IPMN的超声分型可分为单房囊性型、多房囊性型、实性型和主胰管型，其中多房囊性型IPMN的术前超声诊断准确率最高。 |
| 关键词: 超声检查 胰腺 导管内乳头状黏液性肿瘤 |
| DOI： |
| 投稿时间：2020-05-12修订日期：2020-05-13 |
| 基金项目: |
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| Ultrasonic typing and diagnostic analysis for Intraductal Papillary Mucinous Neoplasms of the Pancreas |
| QIAN Qingfu,ZHANG Xiujuan,TANG Xiubin,YU Yue,YAN Yan,CHEN Zhikui |
| (Department of Ultrasound,Fujian Medical University Affiliated Union Hospital,Fuzhou) |
| Abstract: |
| ABSTRACT Objective To explore the ultrasonic typing of intraductal papillary mucinous neoplasms (IPMN), aiming to improve the accuracy of ultrasound diagnosis. Methods The clinical and ultrasound examination data of 29 cases of IPMN confirmed by pathology were collected, and the ultrasonic feature as well as the diagnostic information was analyzed retrospectively. Results IPMN can be divided into single-room cystic type（10.3%，3/29）, multi-room cyst type（44.8%，13/29）,solid type（17.2%，5/29）and main pancreas dilation type（27.6%，8/29）by ultrasound. In all cases, the pancreatic ducts were dilated, and the lesion linked the main pancreatic duct. Most lesions were lack of blood supply. The diagnostic accuracy of preoperative ultrasound examination for multi-room cystic type was 84.6%. Conclusions Intraductal papillary mucinous neoplasms can be divided into single-room cystic type, multi-room cystic type, solid type, and main pancreatic duct type. The accuracy of preoperative ultrasound diagnosis of multi-room cystic IPMN was the highest among them. |
| Key words: Ultrasonography Pancreas Intraductal papillary mucinous neoplasm |
