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目的提高对急性胰腺炎的诊治水平。方法对经临床和手术明确诊断的89例急性胰腺炎CT表现进行分析评价。结果89例中CT诊断为急性水肿型胰腺炎68例,急性坏死型胰腺炎21例,其中7例经手术证实,82例经临床、实验室及腹腔穿刺证实。结论CT是诊断急性胰腺炎的简便、有效的方法,特别是增强扫描对鉴别急性胰腺炎的病变类型具有很高的敏感性,是临床首选诊断方法。
Objective To improve the diagnosis and treatment of acute pancreatitis. Methods 89 cases of acute pancreatitis diagnosed by clinical and surgery were analyzed and evaluated. Results In 89 cases, 68 cases were diagnosed as acute edematous pancreatitis and 21 cases were acute necrotic pancreatitis. Seven cases were proved by operation and 82 cases were confirmed by clinical, laboratory and paracentesis. Conclusion CT is a simple and effective method for the diagnosis of acute pancreatitis. In particular, enhanced scanning is highly sensitive to differentiate acute pancreatitis and is the first choice of clinical diagnosis.