超声诊断胆源性胰腺炎的临床价值分析

The Clinical Value Analyze of Acute Biliary Pancreatitis by Ultrasound

目的探讨胆源性胰腺炎的超声诊断情况。方法采用回顾性分析的方法,分析收治的60例胆源性胰腺炎患者临床资料,分别超声和CT检查进行比较分析。结果超声诊断胆源性胰腺炎灵敏度、特异度、阳性预测值和阴性预测值和CT比较均无显著性差异,胆囊体积增大者31例(66.0%)、胆囊壁厚度>3mm者33例(70.2%)、伴有胆囊壁毛糙模糊5例(10.6%)、胆囊内可见强回声光团和絮状光斑者13例(27.7%);胰腺超声像图表现:弥漫性胰腺肿大者33例(70.2%)、胰腺实质减低者31例(66.0%)、主胰管扩张者17例(36.2%)。结论通过超声对胆源性胰腺炎患者胆道系统和胰腺声像图进行综合性分析,可以提高诊断胆源性胰腺炎阳性率,为临床治疗提供可靠理论依据。

Objective To approach the acute biliary pancreatitis by ultrasound. Method To retrospective analyze the 60 cases acute biliary pancreatitis patients in our hospital, the ultrasound and CT were compared. Result The sensitivity、specificity, positive predictive value and feminine predictive value by ultrasound and CT were no obviously difference, body of gallbladder of ncreasing 31 cases（66.0%）, the thickness of gallbladder 3mm 33cases （70.2%）, gallbladder crude of 5 cases（36.2%）. Conclusion To analyze the biliary system of acute biliary pancreatitis patients and ultrasonic pancreatogram, which was improved masccline rate of acute biliary pancreatitis patients, which was improved dependable theory according.