CAJ | 학술논문

目的：探讨超声对胰腺囊腺瘤的诊断以及对黏液性囊腺瘤、浆液性囊腺瘤的鉴别诊断价值。方法回顾性分析67例胰腺囊腺瘤的超声声像图特征，记录肿瘤发生部位、测量大小、观察肿瘤的边界、形态，记录囊腔数（多囊型、少囊型）及有无钙化。所得数据进行统计学分析。结果胰腺囊腺瘤好发于中老年女性，胰腺黏液性囊腺瘤与浆液性囊腺瘤在发病年龄、性别、位置、大小、边界、形态、囊壁情况、囊壁结节无明显差异（P＞0．05），两者在有无临床症状、囊腔数、最大囊直径以及有无钙化差异有统计学意义（P＜0．05）。结论胰腺囊腺瘤的超声表现具有一定的特征性，当有临床症状、囊腔数小于6个、最大囊直径大于2cm、边缘钙化时倾向于黏液性囊腺瘤，当无临床症状、囊腔数大于或等于6个、最大囊直径小于2cm、中心钙化时倾向于浆液性囊腺瘤。
목적：탐토초성대이선낭선류적진단이급대점액성낭선류、장액성낭선류적감별진단개치。방법회고성분석67례이선낭선류적초성성상도특정，기록종류발생부위、측량대소、관찰종류적변계、형태，기록낭강수（다낭형、소낭형）급유무개화。소득수거진행통계학분석。결과이선낭선류호발우중노년녀성，이선점액성낭선류여장액성낭선류재발병년령、성별、위치、대소、변계、형태、낭벽정황、낭벽결절무명현차이（P＞0．05），량자재유무림상증상、낭강수、최대낭직경이급유무개화차이유통계학의의（P＜0．05）。결론이선낭선류적초성표현구유일정적특정성，당유림상증상、낭강수소우6개、최대낭직경대우2cm、변연개화시경향우점액성낭선류，당무림상증상、낭강수대우혹등우6개、최대낭직경소우2cm、중심개화시경향우장액성낭선류。
Objective To explore the value of ultrasound in diagnosis and differential diagnosis of pancreatic mucinous cystade‐noma and serous cystadenoma .Methods Data of tumor features of sixty seven cases of pancreatic cystadenoma ultrasonographic was retrospectively analyzed .The tumor location ,tumor size ,tumor boundary ,tumor shape ,cavity number and calcification were re‐corded .Then all the data was statistically analyzed .Results Pancreatic cystadenoma occured mostly in middle‐aged women ,there was no significant difference between pancreatic mucinous cystadenoma and serous cystadenoma of the pancreas in age ,gender ,le‐sion location ,lesion size ,shape ,boundary ,cystic wall ,cystic wall nodules(P>0 .05) ,while there were significant differences in with and without clinical symptoms ,cavity number ,diameter of the largest cyst and calcification(P<0 .05) .Conclusion Ultrasonic man‐ifestations of pancreatic cystadenoma has certain characteristics ,when there are clinical symptoms ,cavity number is less than 6 , maximum sac diameter is bigger than 2 cm and there is marginal calcification ,it tends to mucinous cystadenoma;when there is no clinical symptoms ,cavity number is equal to or more than 6 ,maximum sac diameter is equal to or smaller than 2 cm and there is cen‐tral calcification ,it tends to serous cystadenoma .