急性胰腺炎的CT诊断(附57例分析)

CT diagnosis of acute pancreatitis (A report of 57 cases)

目的 评价急性胰腺炎的CT诊断价值。方法 回顾性分析57例急性胰腺炎的CT征象,并将急性胰腺炎分为单纯水肿型、出血坏死型和合并感染型二个临床类型。结果 57例中,急性单纯水肿型26例,出血坏死型20例,合并感染型11例。31例经手术治疗,其中2例术后死亡,单纯水肿型26例均经保守治疗,55例均治愈出院。结论 胰腺炎的诊断并不困难,重要的是对其正确的临床分型,早期发现胰腺的出血、坏死是提高治愈和生存的关键。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。

To evaluate the value of the CT findings in the diagnosis of acute panereatits. Methods CT findings of 57 cases of acute pancreatitis were studied retrospectively. Acute pancreatitis could be classified into simple edema type, hemorrhagic necrosis type and combined inflammation type. Result Among 57 cases, there were 26 cases of simple edema type, 20 cases of hemorrhagic necrosis type, 11 cases of combined inflammation type. 31 cases treated by surgery. 2 patients died after surgery. 55 cases were cured. Conclusion Although diagnosis of pancreatitis was not difficult, Correct classification and early detection of hemorrhage and necrosis in the lesion was critical to therapy. Enhanced CT was not only confirmed the diagnosis and type of pancreatitis but also offered reasonable treatment and judgement of prognosis.