酒精性胰腺损害患者的超声表现及分析  

The ultrasonographic appearance and analysis of patients with alcohol-related pancreas injuries

作　　者：罗艳[1] 王丽萍[1] 湛瑛[1] 杨学平[1] 王茜[1] 张瑶[1] 

机构地区：[1]首都医科大学附属北京地坛医院超声科,北京市100015

出　　处：《临床超声医学杂志》2011年第12期828-830,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨酒精性胰腺损害患者的超声表现,为临床提供诊断依据。方法对480例酗酒者进行胰腺超声检查,发现胰腺结构改变患者的163例,按酗酒时间长短将其分为短期酗酒组35例和长期酗酒组128例,对比分析两组胰腺结构,并根据酗酒时间、年龄、饮酒量对胰腺声像图的影响进行分析。结果长期酗酒组胰头、胰体及胰尾前后径均小于短期酗酒组(t=13.572,P=0.000;t=-10.010,P=0.001;t=-10.700,P=0.001);胰腺萎缩、回声增强与酗酒者年龄和酗酒时间高度相关(t=2.563,P=0.012;t=3.302,P=0.001)。结论超声检查对酒精性胰腺损害患者具有重要的诊断价值,可为临床诊治提供可靠依据。To investigate the ultrasonographic appearance of alcoholrelated pancreas injuries, and to provide reliable information for clinical diagnosis. Methods Uhrasund examination was performed on 480 patients of alcohol abuse, 163 patients with pancreas injuries were divided into longterm alcohol abuse group（ 35 cases） and shortterm alcohol abuse group（ 128 cases）according to alcohol abuse time, then the pancreas structure were analyzed. Uhrasonography was utilized to evaluate the effect on pancreas size, based on the factors of time period of intoxication, the age of the individuals and quantity of alcohol consumed. Results Pancreas size of longterm alcohol abuse group was smaller than that of shortterm alcohol abuse group （ t = 13. 572, P = 0. 000 ; t = - 10.010, P = 0. 001 ; t = - 10. 700, P = 0. 001 ）. Atrophy of pancreas, strengthened echo were correlated with the patient＇ s age and length of time intoxicated （ t = 2. 563, P = 0. 012 ; t = 3. 302, P = 0. 001 ）. Conclusion Ultrasonography has important value in diagnosis of alcoholrelated pancreas injuries, it can provide reliable information for clinical diagnosis.

关 键 词：乙醇 胰腺 超声检查 

分 类 号：R657.5[医药卫生—外科学] R445.1[医药卫生—临床医学]