增强CT和彩超在急性胰腺炎诊断中的应用比较

Application comparison of enhanced CT and color Doppler ultrasound in the diagnosis of acute pancreatitis

目的探讨增强CT和彩超在急性胰腺炎（AP）诊断中的应用价值。方法选取我院2014年3月~2016年3月的96例AP患者作为研究对象,对其实施彩超与增强CT检查,观察两种检查方法的影像学表现及诊断情况。结果彩超检出胰管扩张、胆总管结石的比率显著高于增强CT（P〈0.05）,但胰腺局限性增大、胰腺小灶坏死液化的比率低于增强CT,差异均有统计学意义（P〈0.05）。增强CT的AP检出率高于彩超,差异有统计学意义（P〈0.05）。增强CT的出血坏死型AP检出率高于彩超,差异有统计学意义（P〈0.05）。两组的水肿型AP检出率比较,差异无统计学意义（P〉0.05）。结论彩超和增强CT对于AP的诊断均具有较高价值,可在临床中结合使用,以有效弥补缺陷,这对于AP的诊断及治疗、预后评估具有重要意义。

Objective To explore the application value of enhanced CT and color Doppler ultrasound in the diagnosis of acute pancreatitis（AP）.Methods 96 cases of AP in our hospital from March 2014 to March 2016 were selected as research subjects,color Doppler ultrasound and enhanced CT examination were given.The imaging manifestations and diagnosis of two kinds of examination methods was observed.Results The ratio of pancreatic duct dilatation and common bile duct stones of color Doppler ultrasound was higher than that of enhanced CT（P〈0.05）,but the ratio of the limitation enlargement of pancreas,focal necrosis of pancreas liquefaction of color Doppler ultrasound was lower than that of enhanced CT,with significant difference（P〈0.05）.The AP detection rate of enhanced CT was higher than that of color Doppler ultrasound,with significant difference（P〈0.05）.The AP detection rate of bleeding and necrotizing of enhanced CT was higher than that of color Doppler ultrasound,with significant difference（P〈0.05）.There was no significant difference in the edematous AP detection rate between the two kinds of examination methods（P〉0.05）.Conclusion Color Doppler ultrasound and enhanced CT in acute pancreatitis diagnosis and also has high value,which can be combined in clinical use,in order to effectively make up for defects,this is of great significance for the diagnosis,treatment and prognosis of AP.