摘要
目的探讨多层螺旋CT在诊断急性胰腺炎的应用价值。方法对我院2008年7月至2011年2月收治的经CT确诊的急性胰腺炎患者54例临床资料及CT影像学资料进行回顾分析。结果 54例患者中A级者8例,占14.8%;B级者24例,占44.4%;C级者14例,占25.9%;D级及E级者8例,占14.8%;症状、体征主要包括:上腹部持续性疼痛;恶心、呕吐等胃肠道症状;同时可伴心率加快、发热等症状。CT征象主要包括胰腺体积增大、密度降低、包膜改变等,同时还有胰周渗出、脾肾间隙模糊改变、假性囊肿等。结论多层螺旋CT操作简单、无创有效、敏感性高,在诊断、鉴别诊断及治疗急性胰腺炎上具有重要的指导性应用价值。
Objective to explore the MDCT in the diagnosis of acute pancreatitis application value.Methods a total of July 2008 February～2011 were confirmed by computed tomography （CT） in patients with acute pancreatitis 54 cases clinical data and CT imaging retrospectively analyzed.Results 54 cases A grade 8 cases,accounting for those margins;Class B,24 cases were those of 44.4%;C level 14 cases,accounting for the 25.9%;D level and E level of the 8 cases,margins;Symptoms,signs include：epigastrium persistent pain; Nausea and vomiting gastrointestinal symptoms;And with a heartbeat to accelerate,fever and other symptoms.CT signs include the increase in size,density reduces the pancreas,meanwhile,coated change and enlarged peripancreatic oozy,spleen and kidney clearance fuzzy change,pseudocyst etc.Conclusion MDCT simple operation,noninvasive effective,sensitivity high,at diagnosis,differential diagnosis,and treatment of acute pancreatitis has important guiding application value.
出处
《中外医疗》
2011年第28期180-181,共2页
China & Foreign Medical Treatment
