Objective To explore the processing method and experience of the clinical and CT in the treatment of pancreatic cancer and recurrent pancreatitis. Methods Clinical parameters and CT data were analyzed in 100 cases with early pancreatic cancer and another 100 cases with recurrent pancreatitis. Results There was no statistic difference of symptom, and serum-amylase level on admission and 24 h after admission between the two groups (P>0.05). In pancreatic cancer group CT manifestations showed pancreatic increased limitations and recurrent pancreatitis group manifestations as pancreatic diffusibility (P0.05). The lesion rate of pancreatic duct expansion area in the pancreatic cancer was significant lower than that of the pancreatitis group ( P0.05）；CT检查胰腺癌组大多数患者胰腺增大为局限性，胰腺炎组大多数胰腺增大为弥漫性，差异有统计学意义（P0.05），但扩张胰管贯通区病变率胰腺癌组明显低于胰腺炎组（P<0.01）；两组胰腺强化特点有明显差异（P<0.01）。结论早期胰腺癌与反复发作性胰腺炎在症状、血清酶学等方面比较相似，难以鉴别，而CT检查可作为胰腺癌与反复发作性胰腺炎的重要鉴别依据。
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