胰腺炎的超声检查及血尿淀粉酶分析

Ultrasonography and α-amylase Analysis of Pancreatitis

目的 通过对胰腺炎患者的超声检查结果与实验室血尿淀粉酶检查结果的分析评价超声对胰腺炎的诊断价值。方法 对 72例胰腺炎患者的声像图及血尿淀粉酶结果进行回顾性分析。结果 各型胰腺炎的声像图具有一定特征性 ,超声诊断急性水肿型、出血坏死型、慢性胰腺炎的符合率及总符合率分别为 70 .7%、 92 .9%、6 4 .7%及 73.6 %。血尿淀粉酶测值均数在急性胰腺炎与慢性胰腺炎急性发作之间、急性水肿型与急性出血坏死型胰腺炎之间比较均无显著性差异 (P>0 .0 5 )。结论 超声是诊断胰腺炎的有效方法 ,有重要的临床应用价值。

Objective To evaluate the ultrasonographic value in diagnosis of pancreatitis by analyzing ultrasonographic and laboratory α-amylase examination results of pancreatitis patients.Methods Seventy-two pancreatitis patients who accepted ultrasound and α-amylase examination were analyzed retrospectively.Results Each type of pancreatitis patients had certain sonographic characteristics.Acute oedematous pancreatitis(counted 70.7%),acute necrotic pancreatitis,92.9% and chronic pancreatitis 64.7% were correctly diagnosed,The total coincidence rate was 73.6%.The differences of α-amylase data in the two acute groups were not remarkable (P>0.05).Conclusions Ultrasonography is a usefull diagnostic method for pancreatitis and has important clinical applicable value.