急性胰腺炎的CT诊断价值

Acute Pancreatitis CT Diagnostic Value

目的:分析急性胰腺炎的CT表现,评价CT对急性胰腺炎诊断价值。方法:回顾性分析94例急性胰腺炎的CT表现,按Balthazar分级标准进行统计。结果:94例患者中,CT诊断为急性水肿性胰腺炎36例(38.3%),其中2例属A级,21例属B级或C级,13例属D级,死亡1例。急性出血坏死性胰腺炎58例(61.7%),其中16例属D级,42例属E级,死亡3例。结论:CT是诊断急性胰腺炎简便、有效的方法,对急性胰腺炎的诊断有较高的敏感性。CT增强扫描对胰腺的坏死、出血以及病变严重程度的判断有很大价值,对临床治疗有重要指导意义。

Objective. Analysis of CT shows acute pancreatitis, evaluation of acute pancreatitis CT diagnostic value. Methods： retrospective analysis of 94 cases of acute pancreatitis,CT manifestations according to statistics Balthazar grading standards. Results：all cases, 94 for diagnostic CT acutely edematous pancreatitis 36 cases（38.3% ）, 2 cases of 21 cases of grade, grade B or C level, 13 cases of grade D. Death in one. Acute hemorrhage necrotizing pancreatitis 58 cases （61.7%）, sixteen cases of grade D, 42 cases of grade E. 3 cases of death. Conclusion： CT was diagnosed with acute pancreatitis is simple and effective method for the diagnosis of acute pancreatitis,of high sensitivity. CT scan of the pancreas enhanced to necrosis, hemorrhage and pathological changes of the severity of great value to judge, has an important guiding significance to the clinical treatment.