CT影像对急性胰腺炎患者的诊断价值

Diagnostic value of CT imaging in patients with acute pancreatitis

目的探讨CT影像对急性胰腺炎患者的诊断价值。方法70例疑似急性胰腺炎患者均采用CT进行检查。分析CT在疾病诱因中的诊断正确率、不同发病时间患者Balthazar CT分级诊断结果、CT的诊断效能。结果CT检查在判断疾病诱因中的诊断正确率为94.83%。发病≤72 h和>72 h患者的Balthazar CT分级无显著差异(P>0.05),但发病≤72 h患者的胰腺坏死率低于发病时间>72 h患者(P<0.05)。CT的诊断准确度为92.86%,灵敏度为93.10%,特异度为91.67%,漏诊率为6.90%,误诊率为8.33%。结论CT诊断在急性胰腺炎患者中具有显著的作用。

Objective To explore the diagnostic value of CT imaging in patients with acute pancreatitis.Methods Seventy patients with suspected acute pancreatitis underwent CT examination.The diagnostic accuracy of CT in the cause of disease,the Balthazar CT grading diagnosis results in patients with different onset time and the diagnostic efficiency of CT were analyzed.Results The diagnostic accuracy of CT examination in judging the cause of the disease was 94.83%.There was no significant difference in Balthazar CT grading between patients with onset≤72 h and>72 h(P>0.05),but the rate of pancreatic necrosis in patients with onset≤72 h was lower than that in patients with onset>72 h(P<0.05).The diagnostic accuracy of CT was 92.86%,the sensitivity was 93.10%,the specificity was 91.67%,the missed diagnosis rate was 6.90%,and the misdiagnosis rate was 8.33%.Conclusion CT diagnosis has a significant effect in patients with acute pancreatitis.