急性出血坏死性胰腺炎CT动态复查的价值

The value of dynamic CT reexaminations in acute hemorrhagic necrotic pancreatitis

目的探讨CT动态复查扫描对诊断急性出血坏死性胰腺炎的价值。材料与方法经手术、病理及CT复查确诊的98例急性出血坏死性胰腺炎行回顾性分析,所有患者均做CT平扫动态复查,33例做CT增强扫描。结果33例平扫疑似病例中22例胰坏死面积<30%,5例≥30%经增强扫描所证实,8例胰头部脓肿与胰头及全胰坏死相关。结论CT增强扫描对发现面积<30%的胰坏死有重要价值,胰头及全胰坏死与胰头部脓肿关系密切。

Objective To investigate the value of dynamic CT reexaminations in the diagnosis and therapy of AHNP. Materials and Methods 98 cases of AHNP confirmed by operation, pathology and CT reexamination were analyzed respectively. All patients underwent CT plain scans and 33 enhanced. Results <30% pancreas necrosis(n=22), ≥30(n=5) confirmed by CT enhance, 8 abscess of bacteria in head from necrosis. Conclusions The CT enhanced is impotent value of judgement pancreas necrosis with<30%. There was a good correlation between necrosis in head or whole pancreas and abscess.