螺旋CT在急性胰腺炎诊断中的应用

Application of Screw CT in diagnosing acute pancreatitis

目的:分析急性胰腺炎的CT表现,提高诊断水平。方法:回顾分析临床确诊的30例急性胰腺炎患者的螺旋CT表现,进行评价。结果:其中25例为急性水肿性胰腺炎,5例为出血坏死性胰腺炎,均经临床、实验室检查及腹腔穿刺证实。结论:螺旋CT对急性胰腺炎显示率达98%,不仅可确定诊断,而且能判断炎症的范围、程度及并发症,还可在CT引导下穿刺、抽液、引流,是目前诊断急性胰腺炎的主要方法。

Objective：Analysis of CT examination on acute pancreatitis and Promotion of diagnosis level. Method： Retrospective analysis and evaluation of 30 confirmed acute pancreatitis patients. Results：of the 30 patients, 25 are a- cute and hydropigenous pancreatitis, 5 are hemorrhagic and necrotizing pancreatitis, all are approved by clinic and lab inspection and abdominocentesis. Conclusion：with a display rate of 98%, CT not only has an approved diagnosis to acute pancreatitis, but also has an ability to judge it＇s range, level and other complication. The puncture, hamespasia, and drainage can be operated under the guidance of the CT diagnosis result, which is the main method in diagnosing acute pancrreatitis so far.