创伤性胰腺炎的CT诊断

Wound pancreatitis＇s CT diagnosis

目的：探讨创伤性胰腺炎CT表现与临床症状的相关性，提高对创伤性胰腺炎的诊断认识。方法：回顾性分析经手术和临床随访证实的15例闭合性腹部外伤致胰腺损伤的CT表现。男11例，女4例，年龄16～53岁，平均年龄（28．6±11．32）岁。结果：胰腺局限性或弥漫肿大10例，明显局限性血肿形成2例，网膜囊积液8例，胰周积液及左侧肾前筋膜增厚11例，其中3例主胰管损伤中仅1例CT检出。假性囊肿5例，于伤后5—7天内出现3例，于外伤3周后出现2例；而其中1例患者于1周内出现囊肿的基础上，在3周后出现多发囊肿。4例首次CT检查阴性。结论：多层螺旋CT在胰腺损伤的诊断中有重要价值，早期可对多数病例明确诊断。

Objective：Discusses the wound pancreatitis CT performance and the clinical symptoms relevance, enhances to the wound pancreatitis＇s diagnosis understanding. Methods：The review analysis sends the CT performance which after the surgery and the clinical revisit confirmations 15 example closed abdomen flesh wound the pancreatic gland damages. Male 11 examples, female 4 examples, age 16- 53 years old, average age （28.6± 11.32） year old. Result：The pancreatic gland limitation or fills the tumescent 10 examples, the obvious limited haematoma forms 2 examples, the net interface pouch accumulates the fluid 8 examples, before pancreas Zhou Jiye and left side the kidney, the fascia accumulation 11 examples, in 3 example main pancreatic duct damage only 1 example CT picks out. The pseudo cyst 5 examples, present 3 examples in the wound latter 5--7 days, flesh wound 3 weeks later presents 2 examples; But 1 example patient presents the cyst in 1 week in the foundation, 3 weeks later appears sends the cyst. 4 example for the first time CT inspection negative. Conclusion： Multi- layered screw CT has the important value in the diagnosis which the pancreatic gland damages, the early time may be clear about the diagnosis to the most cases.