急性胰腺炎合并脂肪肝的CT诊断价值及影像特征分析

Analysis of CT diagnosis and imaging features of acute pancreatitis complicated with fatty liver

目的探讨急性胰腺炎合并脂肪肝的CT诊断价值,分析影像特征。方法选择2015年1月至2017年12月在铜陵市立医院治疗的急性胰腺炎合并脂肪患者150例作为研究对象,对患者临床资料进行回顾性分析,总结急性胰腺炎合并脂肪肝患者病因、CT表现以及实验室检测结果。结果有141(94.00%)例患者胰腺CT体积增大,128(85.33%)例患者密度减低,150(100.00%)例患者肝脏CT密度减低,包含103(68.67%)例弥漫性减低,47(31.33%)例局限性减低。治疗后对患者进行复查,136(90.67%)例患者肝脏密度恢复。结论 CT检查不仅能明显胰腺炎范围、程度和并发症,同时也能明确诊断脂肪肝,增强扫描对重型急性胰腺炎诊断、治疗与预后用重要意义。急性胰腺炎患者多伴有脂肪肝,尽早确诊并实施针对性的治疗,可促进患者早日康复。

Objective： to investigate the value of CT in diagnosis of acute pancreatitis with fatty liver. Methods： 150 patients with acute pancreatitis complicated with fat were selected from January 2015 to December 2017. The clinical data of the patients were retrospectively analyzed. To summarize the CT findings and laboratory findings of acute pancreatitis complicated with fatty liver. Results： there were 141 - 94. 00 patients with enlarged CT volume of pancreas and 1 228%85. 33% of CT volume. there were 150 cases of decreased density and 100000% of CT density of liver,including 103 cases of reduced CT density of liver,including 103 cases of diffuse decrease of CT volume and 4 731. 33% of diffuse decreased CT volume. The limitation is reduced. After treatment,the liver density was recovered in 136,90. 67 patients. Conclusion：Ct scan can not only make clear the scope,degree and complications of pancreatitis,but also make sure the diagnosis of fatty liver. The enhanced scan is of great significance in the diagnosis,treatment and prognosis of severe acute pancreatitis. Patients with acute pancreatitis are often accompanied with fatty liver,early diagnosis and targeted treatment can promote the early recovery of patients.