急性胰腺炎B超与螺旋CT诊断对照分析  

Comparative analysis of type-B ultrasonography and spiral computerized tomography in diagnosis of acute pancreatitis

作　　者：宋朝芳[1] 徐应臣[2] 邢文静[1] 

机构地区：[1]泸州市人民医院超声科,四川泸州646000 [2]泸州市人民医院急诊科,四川泸州646000

出　　处：《现代医药卫生》2013年第7期1006-1007,1009,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨B超和螺旋CT对急性胰腺炎(AP)的诊断价值。方法对142例AP患者分别进行B超和螺旋CT检查,将其表现特征进行对照分析。结果 B超与螺旋CT检出轻型胰腺炎(MAP)分别为82例和102例,检出率分别为77.4%(82/106)和96.2%(102/106);B超与螺旋CT检出重型胰腺炎(SAP)分别为25例和36例,检出率分别为69.4%(25/36)和100.0%(36/36)。2种检查方法检出率比较,差异有统计学意义(P<0.05)。结论 B超和螺旋CT均是诊断AP的有效方法,虽然螺旋CT与B超2种检查方法对AP的检出率有显著差异,但二者各有其特点,二者联合应用可以掌握更全面的信息,对AP的诊断和分型具有很好的应用价值。Objective To study the value of type-B ultrasound and spiral CT in the diagnosis of acute pancreatitis （AP）. Methods 142 cases of AP were examined by type-B ultrasonography and spiral CT. Their manifestatious were performed the comparative analysis. Results Mild acute pancreatitis（MAP） was detected in 82 cases by type-B ultrasound and 102 cases by spiral CT, their detection rates were 77.4% （82/106） and 96.2% （102/106） respectively. Severe AP （SAP） was detected in 25 cas- es by type-B ultrasound and 36 cases by spiral CT, their detection rates were 69.4% （25/36） and 100.0% （36/36） respectively. The comparison of detection rates between the two groups showed statistical difference （P〈0.05）. Conclusion Both type-B ultrasound and spiral CT are effective methods in the diagnosis of AP,but each has its characteristics. Their combination use can grasp more comprehensive information and have better application value for the diagnosis and classification of AP.

关 键 词：急性病 胰腺炎 超声检查 胰腺炎 放射摄影术 体层摄影术 X线计算机 诊断 

分 类 号：R734.2[医药卫生—肿瘤]