CT检查时机选择对急性胰腺炎诊断的影响  

Influence of CT Examination Timing on the Diagnosis of Acute Pancreatitis

作　　者：曹秀红 柯炜 Cao Xiuhong;Ke Wei(People's Hospital of Jiujiang Economic and Technological Development Zone,Jiujiang JiangXi 332000,China)

机构地区：[1]九江市经济技术开发区人民医院,江西九江332000

出　　处：《医疗装备》2021年第23期41-42,45,共3页Medical Equipment

摘　　要：目的探讨CT检查时机选择对急性胰腺炎诊断的影响。方法选取2018年8月至2020年8月医院收治的经临床检查确诊的100例急性胰腺炎患者,依据从发生腹痛至开展CT检查的时间间隔分为<12 h组(24例)、12~24 h组(30例)、24~48 h组(22例)、48~72 h组(24例),比较不同时机开展CT检查对急性胰腺炎的检出率及对不同病情严重程度急性胰腺炎的检出率。结果于发病12~24、24~48、48~72 h开展CT检查对急性胰腺炎的检出率及对不同病情严重程度急性胰腺炎的检出率均高于发病<12 h,差异有统计学意义(P<0.05);于发病12~24、24~48、48~72 h 3个时间段开展CT检查对急性胰腺炎的检出率及对不同病情严重程度急性胰腺炎的检出率比较,差异均无统计学意义(P>0.05)。结论相较于发病<12 h,于发病12~24、24~48、48~72 h开展CT检查均可提高急性胰腺炎的检出率;而于发病12~24、24~48、48~72 h 3个时间段开展CT检查的检出率无明显差异,但发病12~24 h稍高于其他两个时间段,因此可将发病12~24 h作为首选诊断时机,但需依据患者实际病情而定。Objective The influence of CT examination timing on the diagnosis of acute pancreatitis was explored. Methods A total of 100 patients admitted to the hospital and diagnosed with acute pancreatitis by clinical examination from August 2018 to August 2020 were selected, and according to the different intervals between the occurrence of abdominal pain and CT examination, they were divided to four groups, that is, <12 h group(24 cases), 12~24 h group(30 cases), 24~48 h group(22 cases) and 48~72 h group(24 cases). Then the detection rates of carrying out CT examination at different timings for diagnosing acute pancreatitis and diagnosing mind and severe acute pancreatitis were compared.Results The detection rates of carrying out CT examination at 12~24, 24~48, 48~72 h after attack for diagnosing acute pancreatitis and diagnosing mind and severe acute pancreatitis were all higher than those of <12 h, with statistically significant differences(P<0.05);When the detection rates of carrying out CT examination at 12~24, 24~48, 48~72 h after attack for diagnosing acute pancreatitis and diagnosing mind and severe acute pancreatitis were compared, the differences were not statistically significant(P>0.05). Conclusion Compared with <12 h, the detection rate for diagnosing acute pancreatitis at 12~24, 24~48, 48~72 h after attack could be improved;but there is no significant difference when the detection rates at 12~24,24~48, 48~72 h after attack were compared and 12~24 h is higher than 24~48 h and 48~72 h, therefore 12~24 h after attack could be regarded as the first choice for diagnosing acute pancreatitis but it should be determined according to the actual situation of patients.

关 键 词：急性胰腺炎 CT检查 检查时机 

分 类 号：R445[医药卫生—影像医学与核医学]