超声造影评估急性胰腺炎坏死程度的初步探讨  

The pilot study of contrast-enhanced ultrasound in assessing necrosis of acute pancreatitis

作　　者：周璇[1] 吕发勤[2] 冯聪[1] 陈力[1] 李蓓[1] 黎檀实[1] 

机构地区：[1]解放军总医院急诊科,北京100853 [2]解放军总医院超声科

出　　处：《临床急诊杂志》2012年第3期166-168,172,共4页Journal of Clinical Emergency

摘　　要：目的:探讨超声造影(CEUS)在急性胰腺炎(AP)诊断及评价胰腺血流灌注方面的应用价值。方法:对34例AP病例的CEUS图像进行分析总结,以Balthazar CT平扫分级为标准对其进行分型,并与增强CT(CECT)结果相对比。结果:34例胰腺炎病例,CEUS诊断轻症急性胰腺炎(MAP)9例,重症急性胰腺炎(SAP)25例,其中AP伴散在小灶状坏死12例,AP伴片状坏死灶13例。CECT诊断MAP11例,SAP23例。CEUS与CECT相比在诊断AP分型上差异无统计学意义(P=0.595,χ2=0.283)。结论:CEUS既可诊断AP,又可评价胰腺血流灌注情况,在临床应用中有广阔前景。Objective：To explore the value of CEUS （contrast-enhanced ultrasound） in diagnosing AP （acute pancreatitis） and evaluating pancreatic blood perfusion. Method：We analyzed and summarized the characteristics of CEUS images about thirty-four AP cases, and classified them into two types according to the standards of Balthazar CT grading system, and then compared them with CECT （contrast-enhanced computer tomography） results. Result：Of thirty-four AP cases examined by CEUS, nine cases of MAP （mile acute panereatitis） were diagnosed, and twenty-five cases of SAP （severe acute pancreatitis） were diagnosed, including twelve AP cases with small necrosis and thirteen AP cases with flaky necrosis. Eleven MAP cases and twenty-three SAP cases were diagnosed by CECT, respectively. There was no statistical difference between CEUS and CECT in diagnosing AP types （P = 0.595, X2 = 0. 283）. Conclusion： CEUS can not only diagnose AP, but also evaluate pancreatic blood perfusion, and has good prospects in clinical application.

关 键 词：超声造影 急性胰腺炎 增强CT 临床应用 

分 类 号：R445.1[医药卫生—影像医学与核医学]