急性胰腺炎的多层螺旋CT诊断价值

Analysis of diagnose acute pancreatitis by multi detector spiral CT

目的:探讨急性胰腺炎的多层螺旋CT诊断价值。方法:分析70例急性胰腺炎患者的临床资料和CT扫描征象。结果:52例胰腺呈弥漫性增大,12例呈局限性增大,14例胰腺密度改变,16例胰腺周围液体聚集,17例胰腺内坏死、出血。53例为急性水肿性胰腺炎,17例为急性出血坏死性胰腺炎,出血坏死性胰腺炎的病情显著重于急性水肿性胰腺炎(P<0.05)。结论:多层螺旋CT扫描为明确急性胰腺炎的类型、判断预后以及制订治疗方案提供了准确的依据,具有重要的临床价值。

Objective：To investigate the value of diagnose acute pancreatitis（AP）by multi detector spiral CT（MDSCT）.Method Analysed the clinical data and MDSCT sign of 70 cases.Results 52 cases pancreas were diffuse swelling,12cases were focal swelling,14cases density of pancreas changed,16cases had fluid accumulation pancreas,17cases had thanatosis and haemorrhage in pancreas.53case were acute edematous pancreatitis（AEP）,17 cases were acute hemorrhagic necrotizing pancreatitis（AHNP）.AHNP was observably serious than AEP（P0.05）.Conclusion MDSCT could offer defining characteristics of estimating type,prognosis and therapeutic schedule of AP,has the important clinical value.