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24例老年非胰岛素依赖性糖尿病(NIDDM)进行胰腺 CT 检查,并设对照组107例,对胰腺头、体、尾3部位作了前后径测定及形态结构上进行了比较观察。结果:病人组的胰腺3部位均明显小于对照组。根据测定值低于正常范围低值(均数-1.96标准差)为缩小,则头、体、尾3部位缩小数分别为5、2及8例。老年 NIDDM 者胰腺轮廓均有切迹,且极大部分(94～100%)结构不均匀。作者将前后径中有一项低于正常最低值者定为胰腺轻度缩小,2项或2项以上低者称为胰腺缩小。结果属于轻度缩小者8例,缩小者3例,占总数的45.83%。13例胰腺仍处正常范围内,胰腺前后径大小与病程及慢性并发症之间似无肯定的关系。对老年 NIDDM 的治疗,作者认为若 CT 示有胰头部或2个以上部位前后径缩小,则有用胰岛素治疗的必要。
Twenty-four elderly patients with non-insulin-dependent diabetes mellitus (NIDDM) underwent pancreatic CT examination and 107 patients in control group. The anterior and posterior diameters of the head, tail and tail of the pancreas were measured and morphologically and structurally observed. Results: The pancreas in the three groups were significantly smaller than the control group. According to the measured value is lower than the normal range of low value (average -1.96 standard deviation) is reduced, the head, body, tail shrinkage of 3 parts were 5,2 and 8 cases. Elderly NIDDM pancreatic profile has notch, and a great part (94 ~ 100%) structure is not uniform. The author of a diameter of less than the normal path of the pancreas as a slight reduction, two or more of the lower is called pancreas. Results were mild reduction in 8 cases, narrowing in 3 cases, accounting for 45.83% of the total. 13 cases of pancreas is still within the normal range, the size of the anterior and posterior pancreatic pathology and duration and no apparent relationship between chronic complications. The treatment of elderly NIDDM, the authors believe that if the CT showed pancreatic head or more than two parts of the anteroposterior diameter is reduced, the need for insulin therapy.