二维超声在急性胰腺炎诊断分型中的价值探讨

Diagnostic Classification of Acute Pancreatitis by two-dimensional Ultrasound

目的 探讨二维超声在胰腺炎的诊断价值并试图分型。方法 对 116例急性胰腺炎进行一次或多次B超检查。结果 B超分型①急性水肿型 73例 ( 63 % ) ,超声表现为胰腺弥漫性肿大 ,边缘清晰 ,实质回声减低。其中 4例手术后 ,病理主要表现为胰腺间质的水肿、充血。超声表现与病理大致吻合 ;②出血坏死型 2 1例 ( 18% ) ,超声表现为胰腺增大 ,边缘模糊 ,回声减低且不均匀 ,其中 16例手术 ,病理主要为胰腺实质的局灶性或融合性坏死 ,细胞结构消失。超声表现与病理吻合。结论 二维超声根据超声表现 ,结合临床 ,对急性胰腺炎初步分型 ,能为临床提供有价值的参考。

Objective To investigate the value of two-dimensional ultrasonography in the diagnosis of acute pancreatitis. Methods 116 cases of acute pancreatitis were imaged once or more than one time. Results ①acute edematous pancreatitis: 73 cases (63%), the ultrasonography showed that the pancreas enlarged diffusely, 4 cases underwent surgical operation, and reduced echoes parenchyma was corresponded to pathological interstitial edema and hyperaemia. ②acute hemorrhagic necrosis of pancreas: 21 cases (18%), the sonogram showed that the pancreas enlarged with obscure outline and reduced inhomogeneous echoes. Among these patients, 16 cases underwent surgical operation, and the pathological analysis displayed that there were focal or fused necrosis and the disappearance of cell structures. Conclusion Two-dimensional ultrasound is a valuable method in the early classification of acute pancreatitis.