彩超和CT检查在急性胰腺炎诊断中的效果比较

Comparison of effects between CT and color ultrasound examinations in diagnosis of acute pancreatitis

目的探讨彩色多普勒超声(彩超)、普通CT和增强CT检查对急性胰腺炎的诊断价值。方法采用彩超、普通CT加增强扫描对2012年9月至2014年9月收治的96例急性胰腺炎患者进行检查,并对检出率进行分析比较。结果彩超对急性胰腺炎检出率[65.62%(63/96)]低于普通CT[83.33%(80/96)]和增强CT[85.42%(82/96)],对胆源性急性胰腺炎检出率[45.83%(44/96)]高于普通CT[30.21%(29/96)]和增强CT[31.25%(30/96)],差异均有统计学意义(P<0.05)。结论 CT检出率较彩超高,在急性胰腺炎确诊中具有重要临床意义;但对于胆源性急性胰腺炎,彩超诊断较CT效果更佳。

Objective To investigate the diagnostic value of color Doppler ultrasound,common CT and enhanced CT for acute pancreatitis（AP）. Methods 96 patients with AP in our hospital from September 2012 to September 2014 were examined by using the color Doppler ultrasound,common CT and enhanced CT. The detection rates were performed the comparative analysis.Results The detection rate of AP by color ultrasound was 65.62%（63/96）,which was lower than 83.33%（80/96） and 85.42%（82/96） by common CT and enhanced CT respectively,but the detection rate of biliogenic AP by color ultrasound was 45.83%（44/96）,which was higher than 30.21%（29/96） by common CT and 31.25%（30/96） by enhanced CT,the difference was statistically significant（P〈0.05）. Conclusion CT has higher detection rate of AP than color ultrasound and has an important significance in diagnosing AP;but for biliogenic AP,color ultrasound diagnosis has better effect than CT.