摘要
目的研究探讨螺旋CT扫描在急性胰腺炎诊断及预后评估中的应用价值,为临床选择恰当的治疗方案提供理论依据。方法对我院46例经临床和手术明确诊断的急性胰腺炎CT征象进行分析评价,并进行CT分级。结果46例急性胰腺炎病例中,42例首次扫描诊断为急性胰腺炎,1例在复查CT扫描时确诊为急性胰腺炎,3例在首次及复查时CT均表现为正常。40例A、B、C级患者,经非手术治疗全部治愈;6例D、E级患者,其中4例非手术治疗,2例行手术治疗,预后均较好。结论CT扫描是诊断急性胰腺炎的重要方法,它不仅可以发现并发症,而且还可以准确地进行CT分级,对临床判断预后、制订正确的治疗方案,降低病死率、提高治愈率有重要意义。
Objective To investigate the practical value of spiro-CT scan on diagnosis and prognostic assessment of acute pancreatitis in Order to provide suitable theoretical foundation to clinical therapy. Methods Analysis and assessment were done on the CT images of 46 patients with acute pancreatitis confirmed by clinical and surgical findings, and classification was conducted. Results Of the 46 patients, 45 were diagnosed as acute pancreatitis by the first scan, and one was diagnosed via recheck of CT scan. Among all the patients, 40 were classified into Group A, Group B and Group C by CT images, and healed well after conservative therapy; six were classified into Group D and Group E （two of them received surgical operation） , and the prognosis was good. Conclusion CT scan is an important method to the diagnosis of acute pancreatitis. Not only can it discover complications, but also help to accurately classification. It is of great importance in judging prognosis, carrying out appropriate therapy, decreasing fatality and impro- ving healing rate.
出处
《临床军医杂志》
CAS
2008年第5期763-764,共2页
Clinical Journal of Medical Officers
