螺旋CT在急性胰腺炎中的临床诊断价值  

Clinical diagnostic value of spiral CT in acute pancreatitis

作　　者：赵雪飞 张瑜 ZHAO Xue-fei;ZHANG Yu(Radiology Department,Shaanxi Zhenghe Hospital,Xi＇an 710054;Radiology Department,Xijing Hospital,Xi＇an 710032,China)

机构地区：[1]陕西正和医院放射科,陕西西安710054 [2]西京医院放射科,陕西西安710032

出　　处：《临床医学研究与实践》2018年第27期148-149,152,共3页Clinical Research and Practice

摘　　要：目的探讨螺旋CT对急性胰腺炎的临床诊断价值。方法回顾性分析我院2010年8月至2018年2月收治的71例经临床证实为急性胰腺炎患者的螺旋CT资料。结果 71例患者中,急性水肿型胰腺炎患者为48例,占67.61%,主要表现为胰腺弥漫性或局灶性肿大,密度正常或轻度降低,轮廓模糊、周围肾筋膜增厚;急性坏死型胰腺炎患者为23例,占32.39%,表现为胰腺体积明显弥漫性增大,边缘模糊,可见更低密度无强化坏死区,胰腺实质内可见斑片状高密度出血灶、胰周积液并发胰脓肿等。结论螺旋CT扫描是诊断急性胰腺炎及其并发症最直观、有效的影像学检查方法。Objective To investigate the clinical diagnostic value of spiral CT diagnosis in the acute pancreatitis.Methods The spiral CT data of 71 patients with acute pancreatitis confirmed by clinical laboratory tests in our hospitalfrom August 2010 to February 2018 were retrospectively analyzed. Results Among the 71 patients, there were 48 patientswith acute edematous pancreatitis, accounted for 67.61%, the CT images mainly showed diffuse or focal enlargement of thepancreas, normal or mildly decreased density, blurred edge and thickening of the surrounding renal fascia. There were 23patients with acute necrotizing pancreatitis, accounted for 32.39% , the CT images mainly showed obviously diffuseenlargement of the pancreas volume, blurred edge, lower density and no enhanced necrotic area can be seen, patchy high-density hemorrhage, peripancreatic effusion, pancreatic abscess can be seen in the pancreas. Conclusion Spiral CT scan isthe most intuitive and effective imaging test method for diagnosing acute pancreatitis and its complications.

关 键 词：螺旋CT 急性水肿型胰腺炎 急性坏死型胰腺炎 

分 类 号：R576[医药卫生—消化系统]