CT在急性胰腺炎诊断中的应用  

Application of CT in the Diagnosis of Acute Pancreatitis

作　　者：刁金辉 DIAO Jin-hui(Department of Radiology,Chaoyang Central Hospital,Liaoning Chaoyang 122000)

机构地区：[1]朝阳市中心医院放射线科,辽宁朝阳122000

出　　处：《中国医疗器械信息》2023年第11期81-83,共3页China Medical Device Information

摘　　要：目的:分析急性胰腺炎疾病特点,评价计算机体层成像(CT)诊断的具体价值。方法:选择2019年10月~2020年6月本院收治的急性胰腺炎患者100例,经病理检查确诊。100例患者均行CT检查,与病理组织检查结果进行比较,获得医院伦理委员会批准,参与患者知情同意参与。比较CT检查后的确诊、漏诊与误诊情况、分型情况、分级情况以及不同病情的灌注参数情况。结果:分型情况方面,病理诊断出血坏死型患者40例,急性水肿型患者60例,与病理组织检查结果比较,CT检查后的出血坏死型患者40例,急性水肿型患者59例,确诊患者99例,确诊率为99.00%,差异无显著性(P>0.05);不同病情灌注参数差异显著(P<0.05);CT影像分级(A级、B级、C级、D级、E级)情况方面,急性水肿型患者CT影像A级、B级占比率较高(P<0.05),出血坏死型患者CT影像E级占比率较高(P<0.05),C级、D级占比率接近(P>0.05)。结论:急性胰腺炎行CT影像诊断能够有效明确患者的疾病类型,影像学特征明显,有助于疾病早期治疗工作、促进治疗预后。Objective:To analyze the characteristics of acute pancreatitis and evaluate the specific value of CT(Computed Tomography)diagnosis.Methods:A total of 100 patients with acute pancreatitis who were admitted to our hospital from October 2019 to June 2020 were selected and confirmed by pathological examination.All 100 patients underwent CT examinations,compared with the results of histopathological examinations,and were approved by the hospital ethics committee,and the participating patients agreed to participate.Compare the diagnosis,missed diagnosis and misdiagnosis,classification,classification and perfusion parameters of different conditions after CT examination.Results:In terms of classification,40 patients with hemorrhagic necrosis and 60 patients with acute edema were diagnosed pathologically.Compared with the results of pathological examination,40 patients with hemorrhagic necrosis after CT examination and 59 patients with acute edema were confirmed patients.99 cases,the diagnosis rate was 99.00%,the difference was not significant(P>0.05);The perfusion parameters of different conditions were significantly different(P<0.05);CT image classification(A,B,C,D,E)in terms of the situation,the proportion of grade A and grade B in CT images of acute edema patients is higher(P<0.05),the proportion of grade E in CT images of patients with hemorrhagic necrosis is higher(P<0.05),and the proportions of grade C and D are close(P>0.05).Conclusion:CT imaging diagnosis of acute pancreatitis can effectively clarify the patient’s disease type.The imaging features are obvious,which is helpful for early treatment of the disease and promotes the prognosis of treatment.

关 键 词：CT影像诊断 急性胰腺炎 出血坏死型 急性水肿型 影像分级 诊断价值 

分 类 号：R445.2[医药卫生—影像医学与核医学]