多层螺旋CT三期增强扫描对急性胰腺炎的诊断价值探讨  

Diagnostic Value of Multi-Slice Spiral CT Three-Phase Enhanced Scan for Acute Pancreatitis

作　　者：邹萍[1] 管英[1] 李继兵[1] ZOU Ping;GUAN Ying;LI Ji-bing(Radiology Department,Jiangyou People's Hospital,Jiangyou 621700,Sichuan Province,China)

机构地区：[1]江油市人民医院放射科,四川江油621700

出　　处：《中国CT和MRI杂志》2020年第12期84-86,共3页Chinese Journal of CT and MRI

基　　金：四川省卫生和计划生育委员会基金资助项目(编号:16PJ359)。

摘　　要：目的探讨多层螺旋CT三期增强扫描对急性胰腺炎的诊断价值。方法回顾分析2018年1月至2019年2月我院收治的60例急性胰腺炎患者的临床资料。观察MSCT平扫及增强扫描的影像特点,与病理诊断结果进行比较,分析急性胰腺炎的MSCT图像表现,记录患者平扫和增强后的相关数据。结果经手术病理检查显示60例患者中急性水肿型患者31例,急性坏死型患者29例。MSCT检查显示60例患者中急性水肿型患者27例,诊断正确率为87.10%;急性坏死型患者24例,诊断正确率为82.76%。结论MSCT三期增强扫描检查对急性胰腺炎的诊断具有重要的价值,临床上可对MSCT检查的影像学特征进行全面分析,结合患者表现出的临床特征对急性胰腺炎进行诊断和治疗。Objective To explore the diagnostic value of multi-slice spiral CT three-phase enhanced scan for acute pancreatitis.Methods The clinical data of 60 patients with acute pancreatitis admitted to our hospital from January 2018 to February 2019 were analyzed retrospectively.The imaging features of MSCT plain scan and enhanced scan were observed and compared with the results of pathological diagnosis.The MSCT images of acute pancreatitis were analyzed,and the data of patients after plain scan and enhanced scan were recorded.Results Surgical pathological examination showed that there were 31 patients with acute edema pancreatitis in the 60 patients and 29 patients with acute necrotizing pancreatitis.MSCT examination showed that there were 27 patients with acute edema pancreatitis in 60 patients,the diagnostic accuracy was 87.10%,and there were 24 patients with acute necrotizing pancreatitis,the diagnostic accuracy was 82.76%.Conclusion MSCT three-phase enhanced scan is of great value in the diagnosis of acute pancreatitis.The imaging features of MSCT can be comprehensively analyzed in clinic.Diagnosis and treatment of acute pancreatitis can be performed in combination with the clinical features exhibited by the patient.

关 键 词：多层螺旋CT 急性胰腺炎 增强扫描 诊断价值 

分 类 号：R656[医药卫生—外科学] R445[医药卫生—临床医学]