急性胰腺炎CT动态复查在临床治疗中的价值

The value of dynamic CT reexamination in the clinical therapy of acute pancreatitis

目的：探讨CT动态复查扫描对急性胰腺炎临床治疗的价值。方法：对58例经手术病理及临床CT复查确诊急性胰腺炎的资料进行回顾性分析。全部病例均做平扫与增强扫描,胰腺区域采用薄层扫描。结果：CT显示胰实质内点状坏死6例,片状坏死4例。其中9例初诊为急性水肿型胰腺炎,经24～72h复查显示点状及段状坏死。4例原为点状坏死发展为片段坏死。9例在后期CT复查发现假性囊肿。结论：CT动态复查对急性胰腺炎的动态发展随时做出准确的定性、定量诊断与临床随即调整治疗方案有重要价值。

Objective：To investigate the value of dynamic CT reexaminations in the therapy of acute pancreatitis.Methods：The data of 58 cases with acute pancreatitis comfirmed by operation,pathology and CT reexamination were analyzed respectively.All patients underwent plain CT and enhanced scans,thin slice scans were undertaken in pancreatic region.Results：By CT scans,pancreatic point necrosis were found in 6 cases and piece necrosis were found in 4.Of these,9 cases was diagnosed as acute pancreatic edema at beginning,after 24～72 hours,point or segment necrosis presented in the reexamination,and 4 cases,which originally had point necrosis,developed into segment necrosis.Pancreatic preudocyst were found in 9 cases in later CT reexaminations.Conclusion：CT dynamic reexamination shows an important value in the accurate diagnosis and correct treatment of acute pancreatitis.