正常成人胰钩突角的多排螺旋CT观测及其临床意义
MDCT observation and significance of normal adult pancreatic uncinate process
目的 多排螺旋CT下观察和测量不同年龄段及不同性别正常成人胰钩突角的大小,确定钩突角的正常范围,为影像诊断胰头占位性病变提供依据。方法 回顾分析我院近3年腹部无明显病变患者的强化CT图片612例,按年龄分成21~30岁、31~40岁、41~50岁、51~60岁、61~70岁、70岁以上6组及男女两组,将强化CT图像3mm重建后分别测量胰腺钩突角的最大值,然后用统计软件进行分析。结果 各年龄组胰钩突角大小如下:21~30岁组(34.7±5.4)°、31~40岁组(56.3±4.8)°、41~50岁组(64.1±5.1)°、51~60岁组(57.8±3.3)°、61~70岁组(47.4±4.1)°、 71岁以上组(33.5±3.9)°;女性(54±2.7)°、男性(61±3.5)°。结论 51~60岁组之前随着年龄增加胰头钩突角逐渐增大,51~60岁组以后随着年龄增加胰头钩突角逐渐减小, 不同性别之间比较男性钩突角略大于女性。
Objective To observe and measure the angle of the uncinate process in different ages and different genders on the enhanced MDCT images so that the normal range of the angle of the uncinate process could be determined, which could provide data for the diagnosis of occupying lesion of the pancreatic head. Method Retrospective analysis was carried out for 612 cases of patients without obvious abdominal diseases with the age older than 20 years. the patients were divided into 6 groups (21~30 years, 31~40 years, 41~50 years, 51~60 years, 61~70 years and above 71 years) and 2 groups by gender(male and female). The max angle of the Uncinate process was measured after enhanced CT image reconstruction with a collimation of 3 mm, and analysis the data was performed by SPSS software. Result The angles of different groups were as follows:(34.7±5.4)°, (56.3±4.8)°, (64.1±5.1)°, (57.8±3.3)°, (47.4±4.1)°and (33.5±3.9)° respectively in the 6 groups, and(54±2.7)° in female、(61±3.5)° in male. Conclusion The angle of the uncinate process increased younger than 60 years old, and then decreased. We also learn that the angle of the uncinate process is larger in male than in female.
[1] 张琳,周庭永,王剑华,等.胰腺钩突的横断面解剖与CT研究
[J] .中国临床解剖学杂志,2008,26(3): 287-290.
[2] 易西南,朱武,张琛,等.胰头钩突的解剖学观察
[J]. 中国局解手术学杂志, 2000, 11(4)::331-333.
[3] Martin DF. Computed tomography of the normal pancreatic uniciate
[J].Clin Radiol, 1988,39(2):195-198.
[4] 尚来焕.正常成人胰腺钩突的 CT 观察与测量
[J]. 实用放射学杂志,2001, 17 (10) : 749-750.
[5] Hui H, David HH, Dennis WF, et al. Four multi-deteetor row helieal CT:image quality and volume coverage speed
[J]. Radiology, 2000,215(1):55-62.
[6] 叶春,范跃祖,鲁星燧,等.CT 及 MRI 对胰腺钩突癌可切除性的术前评估
[J] . 同济大学学报(医学版),2006,27(5):55-57.
[7] Baron PL, Kay C, Hoffman B. Pancreatic imaging
[J]. Surg Oncol Clin N Am,1999,8(1):35-58.
[8] 周康荣.腹部外科临床解剖学
[M].济南:山东科技出版社,2001:74-74.
[9] 赵小虎,郑少强,李恩美,等.螺旋CT对肠系膜上动静脉的研究及临床意义
[J].同济大学学报-医学版,2001,22 (5): 41-44.
[10]裘法祖,王建本,张祜曾.腹部外科临床解剖学
[M].济南:山东科技出版社,2001:74-74.
[11]梅志军,刘瑞,唐岩,等.胰腺钩突角角度变化在CT诊断胰头占位中的意义
[J]. 外科理论与实践,2001,6(2):73-75.
[12]梅志军,刘瑞,邵成伟,等.胰腺钩突角在CT诊断胰头占位性病变中的意义
[J]. 中华普通外科杂志,2002,17(5):302-303.
国家十二五科技支撑计划(2012BAI15B06); 天津市抗癌重大专项攻关计划(12ZCDZSY20300); 天津市卫生局科技基金项目(2013KZ101)
/
| 〈 |
|
〉 |