腹部MSCT检查联合AMY、CRP及PCT指标对急性胰腺炎的诊断价值分析

Analysis on Diagnostic Value of Abdominal MSCT Examination Combined with AMY,CRP and PCT Indicators for Acute Pancreatitis

目的分析腹部MSCT检查联合AMY、CRP及PCT指标对急性胰腺炎的诊断价值。方法回顾分析本院2018年7月至2019年4月收治的58例急性胰腺炎患者的临床资料。根据临床及影像学资料总结腹部MSCT检查急性胰腺炎患者相关影像学特征,对两组患者的AMY、CRP及PCT指标水平进行比较,并分析不同检查方法诊断急性胰腺炎的灵敏度和特异性。结果观察组的AMY、CRP及PCT指标水平均显著高于对照组的AMY、CRP及PCT指标水平,两组比较差异具有统计学意义(P<0.05)。MSCT+AMY+PCT+CRP检查诊断急性胰腺炎的灵敏度为96.55%、特异度为94.83%,MSCT+AMY+PCT+CRP检查诊断急性胰腺炎的灵敏度和特异性均显著高于MSCT、AMY、CRP和PCT四种检查方法各单项、双项以及三项结合检查,差异具有统计学意义(P<0.05)。结论MSCT检查、AMY、CRP及PCT指标水平检查对急性胰腺炎的诊断具有较高价值,但四者联合检查准确率更高,为临床上治疗急性胰腺炎提供了可靠的参考依据,值得临床应用推广。

Objective To analyze the diagnostic value of abdominal MSCT examination combined with AMY,CRP and PCT indicators for acute pancreatitis.Methods The clinical data of 58 patients with acute pancreatitis admitted to our hospital from July 2018 to April 2019 were retrospectively analyzed.According to clinical and imaging data,the imaging features of patients with acute pancreatitis in abdominal MSCT were summarized.The levels of AMY,CRP and PCT indicator were compared between the two groups,and the sensitivity and specificity of different methods in the diagnosis of acute pancreatitis were analyzed.Results The AMY,CRP and PCT indicators in the observation group were significantly higher than those in the control group.The difference between the two groups was statistically significant(P<0.05).The sensitivity of MSCT+AMY+PCT+CRP in the diagnosis of acute pancreatitis was 96.55%and the specificity was 94.83%.The sensitivity and specificity of MSCT+AMY+PCT+CRP in diagnosis of acute pancreatitis were significantly higher than those of MSCT,AMY and CRP alone,than those of MSCT,AMY and CRP in pair,and than those of the combination of MSCT,AMY and CRP.The difference was statistically significant(P<0.05).Conclusion MSCT examination and AMY,CRP and PCT indicators have high value in the diagnosis of acute pancreatitis,but the accuracy of the combined examination of them is higher,which provides a reliable reference for the clinical treatment of acute pancreatitis.It is worthy of clinical application.