摘要
目的评价CT在急性胰腺炎（AP）诊断中的价值。方法分析50例经临床确诊的急性胰腺炎病例，全部病例行cT常规扫描及增强扫描。结果临床诊断急性水肿型胰腺炎43例；急性坏死型胰腺炎7例。cT检查表现为胰腺肿大32例（64％）、密度改变36例（72％）、胰腺周围液体聚集12例（24％）、胰腺内坏死7例（14％）、并发假性囊肿5例（10％）、并发脓肿3例（6％）、肾周筋膜增厚26例（52％）、并发蜂窝织炎9例（18％）、少量胸腔积液12例（24％）等影像学改变。结论CT是诊断急性胰腺炎的有效方法，能早期发现和明确诊断，对临床早期及时有效治疗有重要指导意义。同时对判断病情的轻重及预后评估有重要价值。
Objective To estimate the evaluation of computerized tomography in diagnosing acute pancreatitis. Methods To analysis 50 cases whose clinical diagnosis were acute pancreatitis. All the cases had regular and enhancement CT scanning. Result Forty - three patients were diagnosed acute edematous pancreatitis, and 7 were diagnosed acute hemorrhagic necrosis of pancreas. CT examination showed that pancreas intumesce in 32 cases（64% ） , density change in 36 cases（72% ） , liquid accumulate in the periphery of pancreas in 12 cases（24% ） , pancreas neerose in 7 cases（ 14% ） , pseudoeyst in 5 eases（ 10% ） , abscess in 3 cases （6%） , ethmophlogosis in 9 cases （ 18% ） , small amounts pleural effusion in 12 cases（24% ）. Conclusion CT is an effective method in diagnosing acute pancreatitis which can early discovery and identify the diagnosis. It＇s important in guiding clinic to give the valid treatment in time ,judging the patient＇s condition and evaluating the prognosis.
出处
《浙江临床医学》
2010年第3期246-248,共3页
Zhejiang Clinical Medical Journal
关键词
急性胰腺炎
出血坏死性
CT诊断
Acute panereatitis Acute hemorrhagic neerosis of pancreas CT diagnosis
