急性胰腺炎多期动态扫描的CT征象及临床意义

CT Image of Acute Pancreatitis Multi-phase Dynamic CECT and Its Clinical Significance

目的回顾性分析急性胰腺炎多期动态扫描的CT征象,评价其对临床的诊断及治疗意义。方法 37例临床确诊的急性胰腺炎病例,行胰腺区多期动态增强CT扫描,总结CT征象。结果全部37例中,水肿型胰腺炎31例,出血坏死型胰腺炎6例;多期动态扫描后可以观察胰腺的形态、大小、密度,出血及坏死,还可观察胰周积液、脂肪坏死等。结论多期动态增强CT扫描是诊断急性胰腺炎、尤其是出血坏死性胰腺炎的有效检查方法,并能指导临床分型,评估预后,具有重要的临床价值。

Objective To study the image of multi-phase dynamic contrast enhanced CT（CECT） scanning in acute pancreatitis,and evaluate the diagnosis and treatment value.Methods Multi-phase dynamic CECT scanning were performed in 37 patieats clinically diagnosed as acute pancreatitis.Results Of the 37 cases,31 cases,31 cases were of edematous type pancreatitis,6 cases were of severe necrotic type.We can abserve the shape,size,density,hemorrhage and necrosis,aslo can abserve peripancreatitis fluid accumulation and fat necrosis.Conclusion Multi-phase dynamic CECT is an effective check method for acute pancreatitis,especially severe necotic type.It has important clinical calue in typing the disease and in predicting the prognosis.