急性胰腺炎的CT诊断(附93例分析)

CT Diagnosis of the Acute Pancreatitis(Analysis of 93 Cases)

目的：评价急性胰腺炎的ＣＴ诊断价值，主要探讨ＣＴ增强扫描及术后复查的重要意义。材料与方法：９３例１２３次急性胰腺炎ＣＴ检查资料回顾分析。结果：９３例中，诊断急性水肿型胰腺炎５３例，急性坏死性胰腺炎４０例，合并胰腺出血２例，合并胰腺脓肿４例，合并假性囊肿８例。９３例中，３６例经手术治疗，其中２例术后死亡。其余５７例经保守治疗，９１例均治愈出院。结论：急性胰腺炎的诊断并不困难，重要的是对其正确的分型，以及早期发现胰腺的出血、坏死。急性胰腺炎手术前后的ＣＴ检查，尤其是ＣＴ增强扫描，不仅可肯定胰腺炎的诊断与类型，而且为临床提供合理的治疗方案及作出预后的判断。

purpose:This paper in an attempt to explore CT diagnositic evaluate of acute pancreatitis emphasizes CT enhance Scan and re-examination of the post-operation.Materials and Methods:Review analysis 93 cases 123 times CT scanning dates of acute pancreatitis.Results: Among 93 cases,acute hydrops type in 53 cases; acute necsosis type in 40 cases later complication hemorrhage 2 cases, Pseudocyst 8 cases.36cases were by operation had death 2 cases,34cases cure.Conservative treatment 57 cases all cure.Conclusion:From these results it is Suggested that acute pancreatitis divide types,early discover hemorrhage and necrosis very importance,CT scan Special enhancement may be help diagnosis and observe prognosis to this disease.