超声检查对急性胰腺炎的临床价值

Clinical value of ultrasonography for acute pancreatitis

目的：评价超声检查在急性胰腺炎诊治过程中的临床价值。方法：回顾分析105例确诊为急性胰腺炎的超声声像图。结果：超声检查109例患者中，超声诊断为急性胰腺炎105例（96．33％），其中，水肿型75例（71．43％）、出血坏死型30例（28．57％），漏诊4例（3．67％）。急性水肿型胰腺炎的超声声像图表现为胰腺弥漫性或头、体、尾局限性肿大，回声减低，部分主胰管扩张；急性出血坏死型胰腺炎除胰腺体积增大、轮廓不清外，胰周出现积液，甚至出现腹水、胸水。结论：超声诊断急性胰腺炎具有简便、经济、无创的优点，检出率较高，而且可协助临床诊断分型，指导临床穿刺抽液、随访治疗效果，故超声应作为急性胰腺炎的常规检查手段。

Objective： Evaluation of uhrasonography in the diagnosis and treatment of acute pancreatitis in the process of clinical value. Methods： Retrospective analysis of 109 cases of diagnosed patients with acute pancreatitis ultrasonographic.Results： Ultrasonography 109 cases of patients, 105 eases of acute pancreatitis（96.33 % ）, contains 75 cases of edematous（71.43 % ）, 30 cases of hemorrhagic necrotizing（28.57 % ）, cases of missed di- agnosis（3.67%） .Acute edematous pancreatitis uhrasonugraphic performance diffuse pancreatic head, body, tail swelling limitations, echo reduction, some of the main pancreatic duct dilatation; acute hemorrhagic necrotizing pancreatitis when the pancreas in addition to increased volume, contour un- clear, the pancreas week effusion, even ascites, pleural effusion. Conclusion： Ultrasound diagnosis of acute pancreatitis is a simple, economic, non - inva- sive merits, higher detection rate, but also to assist the clinical diagnosis and guide clinical puncture fluid, follow - up treatment, therefore, ultrasound should be used as routine examination of acute pancreatitis means.