多排螺旋CT在慢性胰腺炎诊断中的意义

The role of multi-row computerized tomography in the diagnosis of chronic pancreatitis

目的分析评价多排螺旋CT在慢性胰腺炎诊断中的作用，有助于慢性胰腺炎的早期诊断。方法对经手术病理证实和CT复查确诊38例慢性胰腺炎的CT表现，进行回顾性分析。结果①胰腺萎缩：19／38例（50．0％）；②胰腺增大：12／38例（31．6％）；③胰管扩张：19／38例（50．0％）；④胰腺钙化或胰管内结石：18／38例（47．4％）；⑤肝内外胆管扩张：13／38例（34．2％）；⑥病变包裹胰后大动脉等等CT表现，都具有一定的特异征象。结论认真分析，仔细研究慢性胰腺炎的C的特异征象，可以做到慢性胰腺炎的早期诊断。

Objective To evaluate the role of multi-row computerized tomography in the diagnosis of chronic panereatitis（CP） and to better show the CP in the earlier stage. Methods Thirty-eight CPs proved path- ologically were analyzed retrospectively. Results All patients underwent CT scannings, ①Pancreas atrophy in 19 patients （ 19/38, 50. 0% ） ;②Pancreas swelling in 12 patients （ 12/38, 31.6% ） ; ③Pancreatic duct was found in 19 patients （19/39,50.0%） ;④Pancreas calcification or stone in pancreatic dilation duct in 18 patients（ 18/38,47. 4% ） ;⑤intra-or extra-hepatic bile duct in 13 patients（ 13/38,34. 2% ）. and retro-pancreatic large arteries encapaulated. All these appearances were specific of CP on CT. Conclusion When the specific CT signs of chronic panereatitis were reviewed carefully, the early diagnosis of chronic pancreatitis could be reached.