超声造影在急性胰腺炎脾血管并发症诊断中的价值

Diagnostic value of contrastenhanced ultrasound in detection of splenic vascular complications of acute pancreatitis

目的:探讨急性胰腺炎(acute pancreatitis,AP)发生脾血管并发症时超声及超声造影(contrastenhanced ultrasound,CEUS)诊断价值.方法:收集2012-01/2012-12在我院住院的AP患者112例,分别进行常规彩色多普勒超声(color Doppler ultrasound,CDUS)、超声造影(contrast enhanced ultrasound,CEUS)以及上腹部增强CT的检查(contrast-enhanced computedtomography,CECT),以CECT结果作为金标准,对比CDUS和CEUS对于诊断脾血管并发症的准确性.结果:经CECT证实15例胰腺炎发生脾血管并发症,CDUS诊断3例,CEUS诊断10例.结论:对于AP的脾血管并发症CEUS优于CDUS,能够较为准确、无创的诊断脾血管并发症.CEUS对于AP并发症的诊断是一种有效的方法,特别是在患者不适合进行CECT检查的时候.

AIM： To evaluate the diagnostic value of contrast-enhanced ultrasound （CEUS） in the detection of splenic vascular complications of acute pancreatitis （AP）.METHODS： One hundred and twelve patients with AP treated at our hospital from January 2012 to December 2012 were included in this study. All patients underwent color Doppler ultrasound （CDUS）, CEUS and contrast-enhanced computed tomography （CECT）. CECT was considered as the gold standard for the diagnosis of splenic vascular complications of AP, and findings of CDUS or CEUS were compared with those of CECT. The diagnostic accuracy of different modalities was compared.RESULTS： Splenic vascular complications were diagnosed by CECT in 15 patients, by CDUS in 3 patients, and by CEUS in 10 patients.CONCLUSION： CEUS is superior to CDUS in the diagnosis of splenic vascular complications of AP in terms of diagnostic accuracy. CEUS is a good alternative to CECT in the diagnosis of splenic vascular complications of AP.