急性胰腺炎累及胃肠道的CT表现及解剖学基础

CT features and anatomic basis of acute pancreatitis involving gastrointestinal tract

目的:探讨急性胰腺炎累及胃肠道的CT表现及解剖学基础。方法:采用回顾性研究方法,选择在我院诊治的急性胰腺炎患者40例作为研究对象,记录累及胃肠道的CT表现特征,调查解剖学状况。结果:在40例患者中,共有36例出现胃肠道受累,受累率为90.0%,其中十二指肠受累24例,胃壁受累21例,横结肠受累14例,升结肠受累8例,降结肠受累5例。结论:胃肠道受累可以作为判断急性胰腺炎严重程度的参考指标,CT胃肠道受累解剖下的影像学特征是急性胰腺炎不可忽视的重要影像征象。

Objective To investigate the CT features and anatomic basis of acute pancreatitis involving gastrointestinal tract. Methods A retrospective study was conducted in 40 patients with acute pancreatitis in our hospital. The CT features of the gastrointestinal tract were recorded and the anatomic status was investigated. Results In 40 patients, 36 patients with involving gastrointestinal tract, the rate of involvement was 90%,of which 24 cases of duodenal involved, the gastric was involved in 21 cases, transverse colon was involved in 14 cases, 8 cases of ascending colon involved, descending colon lesions involved in 5 cases. Conclusion The gastrointestinal tract involvement can be used as a reference index to judge the severity of acute pancreatitis. CT imaging of gastrointestinal tract involvement is an important imaging signs of acute pancreatitis.