急性胰腺炎的CT诊断(附20例分析)

The CT diagnosis of acute pancreatitis

目的 探讨急性胰腺炎的CT表现及其应用价值。方法 对20例急性胰腺炎病人进行CT检查 ,取层厚5mm ,平扫 +增强扫描。结果 单纯性14例 ,坏死性6例 ,合并出血2例。CT表现为胰腺肿大 ,密度改变 ,胰周渗液 ,并发症。结论 CT是急性胰腺炎最有效的影像诊断方法 ,增强扫描对胰腺坏死范围、程度、定量、定性的判断有很大价值 ,有助于临床诊断及治疗。

Objective To explore the CTimaging manifestations and to evaluate its value in acute pancreatitis. Methods CTscan was perˉformed in20cases of acute pancreatitis.Imaging materials included both plain and enhanced CTscan with collimation5mm. Results There were14cases simple acute pancreatitis and6cases necrotic acute pancreatitis,in which2cases with complication of haemorrage.The CT imaging manifestations were enlarged pancreas with different density change,peripancreas with effusion,and its complication. Conclusion CT scan is the most effective imaging diagnostic method in acute pancreatitis.Enhanced CTscan has much more value to evaluate pancreas necrotic range and extent from quantity and nature.It plays an important role in the clinical diagnosis and treatment of acute pancreatitis.