CT影像诊断对急性胰腺炎的诊断效果分析

Diagnostic Effect of CT Imaging Diagnosis on Acute Pancreatitis

目的分析CT影像诊断对于急性胰腺炎的诊断效果与诊断价值。方法研究对象选择该院2016年1-12月的56例急性胰腺炎患者,对其病例资料展开回顾性分析。对患者行螺旋CT检查扫描,并通过诊断结果来分析CT影响诊断的具体价值。结果研究结果表明,在56例患者当中,按照Balthager分类标准,A、B、C、D、E级的患者数量分别为7例、20例、14例、8例、7例,所占比例分别为12.5%、35.7%、25.0%、14.3%、12.5%。另外患者的临床症状主要表现为上腹部疼痛,且以持续性疼痛为主,50%放射至胸部,伴有恶心、呕吐、心率加快等。部分重症患者出现低血压,化验检查结果中的尿淀粉酶与胰蛋白酶增加。CT影像学征象中出现胰腺弥漫性肿大与局限性肿大,密度降低,包膜改变。此外,有少量患者并发假囊肿或出现腹腔积液。结论螺旋CT诊断可以清晰地展示患者的炎症区域与范围,并细微、准确地表现出其特征性,这对于后续的临床诊断与治疗方案选择具有显著的价值,可以作为重要的参考依据。

Objective To analyze the diagnostic and diagnosticvalue of CT imaging diagnosis for acute pancreatitis.Methods A total of 56 patients with acute pancreatitis from January to December 2016 were selected.The patient data were retrospectively analyzed.The patient underwent spiral CT scan and analyzed the diagnostic results to analyze the specificvalue of CT impact diagnosis.Results The results showed that among the 56 patients,according to the Balthager classification criteria,the number of patients at grades A,B,C,D,and E was 7 case,20 case,14 case,8 case,and 7 respectively,was 12.5%,35.7%,25.0%,14.3%,12.5%.In addition,the patient’s clinical symptoms mainly manifested as upper abdominal pain,and mainly caused by persistent pain,50% of the radiation to the chest,accompanied by nausea,vomiting,and increased heart rate.Some patients with severe disease have hypotension,and the urine amylase and trypsin increase in the test results.In the imaging features of CT,diffuse enlargement and localized enlargement of the pancreas,decreased density,and altered capsule were observed.In addition,a small number of patients have complicated pseudocysts or peritoneal effusions.Conclusion Spiral CT diagnosis can clearly show the area and extent of inflammation in patients,and its characteristics are subtle and accurate.This is of great value for the subsequent clinical diagnosis and treatment options,and can be used as an important reference.