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目的探讨急性胰腺炎的CT表现及其对临床诊断中应用价值。方法收集本院2001年1月至2008年12月诊治的98例急性胰腺炎的病例,对其CT表现进行回顾性分析。结果 98例患者CT表现胰腺肿胀,胰周边界不清,结构不完整,实质内点状、小片状低密度区,胰管扩张,肾前筋膜受侵,尤其是左侧肾前筋膜。结论 CT检查是诊断急性胰腺炎及其并发症的有效的影像学方法,对急性坏死性胰腺炎的诊断及患者预后判断具有重要价值,有助于临床的诊断和治疗。对临床的治疗及预后可提供真实而客观依据有重要意义。
Objective To investigate the CT features of acute pancreatitis and its clinical value in clinical diagnosis. Methods A total of 98 patients with acute pancreatitis who were treated in our hospital from January 2001 to December 2008 were retrospectively analyzed. Results The CT findings of 98 patients showed pancreatic edema, unclear peri-pancreatic border, incomplete structure, intraparenchymal parenchyma, small lamellar low density area, dilatation of pancreatic duct and invasion of prerenal fascia, especially left anterior fascia . Conclusion CT examination is an effective imaging method for diagnosis of acute pancreatitis and its complications. It is of great value to the diagnosis of acute necrotizing pancreatitis and prognosis of patients, which is helpful for clinical diagnosis and treatment. It is of great importance to provide a true and objective basis for clinical treatment and prognosis.