CAJ | 학술논문

目的探讨胰腺体尾癌累及脾动、静脉导致的脾梗塞、脾脓肿等螺旋CT表现及临床意义.方法回顾性分析16例胰腺体尾癌继发脾梗塞及脓肿患者的螺旋CT表现.结果 16例均累及脾动、静脉脉,表现为脾动脉、静脉被推压、包绕,管径变细或粗细不均、边缘毛糙、血管强化程度降低及胃脾间出现迂曲、增粗血管影等征象,8例直接浸润脾脏,表现为胰尾、脾脏脂肪间隙模糊、密度增高,14例出现脾梗塞,表现为脾脏外围楔形低密度无强化灶,4例出现脾脓肿,表现为类圆形或蜂窝状低密度无强化灶.结论胰腺体尾Ca累及脾脏的螺旋CT表现多种多样,加深对其的认识能提高胰腺体尾Ca诊断正确率、全面性,减少误诊,为临床采取适当的治疗提供依据.
목적 탐토이선체미암루급비동、정맥도치적비경새、비농종등라선CT표현급림상의의.방법 회고성분석16례이선체미암계발비경새급농종환자적라선CT표현.결과 16례균루급비동、정맥맥,표현위비동맥、정맥피추압、포요,관경변세혹조세불균、변연모조、혈관강화정도강저급위비간출현우곡、증조혈관영등정상,8례직접침윤비장,표현위이미、비장지방간극모호、밀도증고,14례출현비경새,표현위비장외위설형저밀도무강화조,4례출현비농종,표현위류원형혹봉와상저밀도무강화조.결론 이선체미Ca루급비장적라선CT표현다충다양,가심대기적인식능제고이선체미Ca진단정학솔、전면성,감소오진,위림상채취괄당적치료제공의거.
Objective To discuss the CT features and clinic significance of splenic infarction and abscesses caused by carcinoma of body and tail of pancreas involved the splenic artery and spleen vein.Methods Retrospective analysis was conducted to study the manifestations of spiral CT of 16 cases of carcinoma of body and tail of pancreas with splenic infarction and abscess.Results The splenic artery and vein were invaded in all 16 cases,it showed the splenic artery and vein were pulled or bag around,the caliber thinner or uneven thickness,the edge was coarse,the degree of strengthening of splenic vessel reduced and appeared circuitous vascular shadows between the stomach and spleen clearance etc,8 cases directly infiltrated the spleen,showing the fat clearance between pancreatic tail and spleen fuzzy and higher density,and 14 cases appeared splenic infarction,it showed the wedge non enhancement at periphery of the spleen,4 eases appeared splenic abscess,with the qusic-circular or faviform non enhancement.Conclusion The CT features with carcinoma of body and tail of pancreas involving the spleen were infinite various,it can increase diagnostic accuracy of carcinoma of body and tail of pancreas through a deeper understanding,reducing misdiagnosis,and provides the basis for clinical take proper treatment.