急性胰腺炎的多层螺旋CT表现及病理临床联系

Explore the CT Express and Pathology Relatiship in Acute Pancreatitis

目的探讨急性胰腺炎的CT表现、病理联系及诊断价值。方法回顾性分析19例急性胰腺炎的CT资料和临床表现，结合病理改变。结果急性水肿型胰腺炎16例．CT表现为：胰腺体积增大、密度较均，胰周间隙模糊及积液，肾前筋膜及侧锥筋膜增厚、粘连；急性坏死性胰腺炎3例，CT表现为：胰腺体积增大，其内密度不均，见片状液性坏死灶及高密度出血灶，肾前间隙、肾周间隙明显液性灶，肾周筋膜明显增厚。结论CT对急性胰腺炎的诊断，明确胰腺炎的严重程度、范围，并进行分期有重要价值。

Objective To explore the CT manifestations, pathology relationship and the diagnostic value of CT in acute panereatitis.Methods The CT data,clinical manifestations and pathological changes of 19 cases were retrospectively analyzed.Results In the 16 cases of acute edematous panereatittis, the CT image show：the pancreatic volume is enlarged;the density is even;peripanereatic is effusion and fuzzy;the prerenal fascia and lateral conical fascia thicken and adhesion. In the 3 cases of acute necrotizing panereatitis, the CT image show：the pancreatic volume is enlarged ; the density is uneven;thero are some flake liquid density of focal necroses and high-density bleeding area;the prerenal space and perienal space have some obvious liquid, the prerenal fascia thicken obviously. Conclusion CT image has a very important value in diagnosing,judging the severity and area involved , and staging the acute panereatitis.