摘要
目的 比较急性胰腺炎增强CT和彩色超声检查之间存在的差异,为急性胰腺炎诊断提供可靠依据.方法 对北京友谊医院急诊科于2010年1月至2012年12月之间收治的106例急性胰腺炎患者进行增强CT和彩色超声检查,比较两种检查方法对急性胰腺炎敏感性.结果 彩色超声查出急性胰腺炎66例,阳性率约为62.0％,增强CT查出急性胰腺炎诊断者99例,阳性率约为93.0％,两者比较差异具有统计学意义（P=0.03）.彩色超声显示并发胆囊增大、胆囊炎、胆囊和（或）胆管结石等22例;增强CT显示43例并发胆囊增大、胆囊炎、胆囊和（或）胆管结石,两者比较差异有统计学意义（P=0.02）.结论 腹部增强CT在急性胰腺炎的诊断中敏感性要高于腹部超声检查,是急性胰腺炎诊断的必要手段.
Objective To study reliable evidence for the diagnosis of acute pancreatitis by comparing the diagnostic potential of enhanced computed tomography （CT） with color ultrasonography.Methods A total of 106 patients with acute pancreatitis admitted from January 2010 to December 2012 were examined by enhanced CT or color Ultrasonography for comparing the diagnostic sensitivity of the two methods.Results A total of 66 cases with acute pancreatitis were diagnosed by color ultrasound with 62.0% positive rate,while 99 cases with acute pancreatitis were diagnosed by enhanced CT with 93.0% positive rate,and thus the difference between them was statistically significant （P =0.03）.Of them,22 cases associated with enlargement of the gallbladder,cholecystitis,lithiasis of gallbladder and/or bile duct were detected by color ultrasonography,whereas 43 cases associated with enlargement of the gallbladder,cholecystitis,lithiasis of gallbladder and/or bile duct were detected by enhanced CT,thus the difference between them was significant （P =0.02）.Conclusions The diagnosis sensitivity of abdominal enhanced CT for acute pancreatitis was superior to abdominal ultrasonography,and enhanced CT is a ideal tool for the diagnosis of acute pancreatitis.
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2015年第10期1115-1117,共3页
Chinese Journal of Emergency Medicine
关键词
急性胰腺炎
增强CT
彩色超声
敏感性
差异性
诊断
分级
评估
Acute pancreatitis
Enhanced CT
Color ultrasonography
Sensitivity
Difference
Diagnostic
Rating
Assessment
