CT影像诊断在急性胰腺炎患者诊断中的应用价值研究

Study on the Value of CT Imaging in the Diagnosis of Acute Pancreatitis

目的探讨应用CT检查诊断急性胰腺炎的价值。方法选取该院2016年1月-2019年6月收治的60例急性胰腺炎患者为研究对象,对所有患者均行CT及病理检查,对影像结果进行分析,对比CT检查与病理检查诊断急性胰腺炎的准确率及CT影像表现。结果 CT检查、病理检查对急性胰腺炎的诊断准确率均为100.00%,差异无统计学意义(χ^2=0.000,P=1.000),其中诊断急性水肿型胰腺炎26例,占43.33%,影像表现为胰腺弥漫及局灶性肿大,边界清晰;急性出血坏死型胰腺炎34例,占56.67%,影像表现为胰腺体积弥漫性肿大、实质区密度不均、胰腺包膜增厚及可见增厚且模糊筋膜影。结论应用CT检查方法可有效检出急性胰腺炎,这为疾病的早期治疗提供有利参考,值得推广。

Objective To evaluate the value of CT in the diagnosis of acute pancreatitis. Methods From January 2016 to June 2019, 60 patients with acute pancreatitis were selected as subjects. CT and pathological examination were performed in all patients. The imaging results were analyzed, and the accuracy and CT findings of CT and pathological examination in the diagnosis of acute pancreatitis were compared. Results The diagnostic accuracy of CT examination and pathological examination for acute pancreatitis was 100.00%, and the difference was not statistically significant(χ^2=0.000, P =1.000), among which 26 cases(43.33%) were diagnosed with acute edematous pancreatitis. The imaging showed diffuse and focal enlargement of the pancreas with clear boundaries. Acute haemorrhagic necrotic pancreatitis(34 cases, 56.67%) presented diffuse pancreatic enlargement, uneven density of parenchymal area, and thickening of pancreatic capsule and visible thickening and fuzzy fascial shadow. Conclusion CT can effectively detect acute pancreatitis, which provides a favorable reference for the early treatment of the disease and is worth popularizing.