多排螺旋CT在急性胰腺炎诊断中的临床价值

Clinical value of Multi-slice Spiral CT in the diagnosis of Acute pancreatitis

目的:探讨多排螺旋CT诊断急性胰腺炎的价值。方法:回顾性分析43例以临床资料或手术证实的急性胰腺炎病例。结果:本组43例中急性水肿型胰腺炎34例,急性出血坏死型胰腺炎9例,其中4例合并感染;按常见CT征象出现的概率依次为胰腺体积均匀或局限性增大,胰周筋膜水肿增厚、胰周积液、胰腺坏死等。结论:多排螺旋CT是诊断急性胰腺炎及其评估预后的重要参考标准,特别是增强CT可作为急性坏死性胰腺炎的定性依据。

Objective To evaluate the value of multi-slice spiral CT in the diagnosis of acute pancreatitis. Methods 43 cases of acute pancreatitis confirmed by clinical data or surgery were retrospectively analyzed. Results Among the 43 cases, 34 cases were acute edematous pancreatitis, 9 cases were acute hemorrhagic necrotizing pancreatitis, among them 4 cases were complicated with infection. Peripancreatic effusion, pancreatic necrosis, etc. Conclusion Multi-slice spiral CT is an important criterion for the diagnosis of acute pancreatitis and its prognosis, especially enhanced CT can be used as the diagnosis of acute necrotizing pancreatitis. Sexual basis.