急性胰腺炎45例CT影像分析

CT imagine analysis of 45 cases of acute pancreatitis

目的:探讨CT对急性胰腺炎的诊断价值。方法:对45例经CT诊断,临床或手术证实的急性胰腺炎患者的CT资料进行回顾性分析,全部病例均行CT平扫,部分病例行平扫后增强扫描。结果:急性水肿型胰腺炎38例,急性出血坏死型胰腺炎7例,CT主要表现为胰腺体积的局限性或弥漫性增大,密度减低,不均匀,胰周积液,肾周筋膜增厚,假性囊肿形成等。结论:螺旋CT检查有助于明确急性胰腺炎的诊断和对并发症的判断,为临床提供治疗依据。

Objective：To investigate CT diagnosis value to acute pancreatitis for improving the diagnostic level.Methods：CT imagine in 45 cases of acute pancreatitis were reviewed.All cases were confirmed by CT,clinical and/or operation.45 patients received CT plain scan and some added contrast enhancement（CE） after plain scan.Results：Of 45 cases,38 cases were acute edema pancreatitis,7 cases were acute hemorrhagic-necrotizing pancreatitis.The main CT signs of acute pancreatitis included the localized or diffused enlargement of pancreatic volume,density decrease,non-uniform,peripancreatic effusion,perirenal fascia thickening and pseudocyst,etc.Conclusion：The spiral CT inspection is helpful to diagnose acute pancreatitis and determine the complications,which can provide the basis of treatment for clinic.