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多排螺旋CT对急性胰腺炎的诊断与治疗价值 被引量:1

Value of multi-slice spiral CT in the diagnosis and the therapy of acute pancreatitis
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摘要 目的:探讨多排螺旋CT(MSCT)对急性胰腺炎患者的影像诊断及指导临床治疗价值。方法:回顾分析某医院2010~2011年37例经MSCT诊断为急性胰腺炎患者(均经临床证实)的影像学表现及临床病历资料。结果:急性单纯水肿性胰腺炎30例,CT表现为胰腺不同程度的体积增大,其密度稍低但较均匀,腹腔未见积液;急性出血坏死性胰腺炎7例,CT表现为胰腺明显肿大,伴胰腺周围积液、出血、坏死或钙化。结论:MSCT对急性胰腺炎的诊断和鉴别诊断、评估其严重程度、特别是对鉴别轻型和重症胰腺炎及邻近器官是否受累及指导临床治疗有重要价值。 Objective:To evaluate the value of diagnostic imaging and clinical treatment in patients with acute pancreatitis by multi-slice spiral CT ( MSCT ).Methods: Retrospectively analyze 37 cases of imaging findings and clinical data in 2010 to 2011 in our hospital diagnosed by MSCT for patients with acute pancreatitis ( were confirmed by clinical ). Results: acute simple edema pancreatitis in 30 patients, CT showed Pancreas was different degrees of volume increases, the density was lower and more uniform, no peritoneal effusion; acute hemorrhagic neerotizing pancreatitis in 7 cases, CT showed obvious swelling associated with pancreas, pancreatic effusion around, hemorrhage, necrosis and calcification. Conclusion: MSCT has the important value on acute pancreatitis diagnosis and differential diagnosis, assessing its severity, in particular for the differential light and severe acute pancreatitis and the adjacent organs involved and guiding clinical treatment.
作者 徐厚勇
机构地区 宿松县人民医院
出处 《安徽卫生职业技术学院学报》 2012年第4期47-48,共2页 Journal of Anhui Health Vocational & Technical College
关键词 急性胰腺炎 影像诊断 出血 坏死 假性囊肿 Acute pancreatitis Diagnostic imaging Hemorrhage Necrosis Pseudocyst
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  • 1周康荣,严福华,曾蒙苏.腹部CT诊断学[M].上海:复旦大学出版社,2011:476.
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