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目的探讨急性胰腺炎累及亚腹膜间隙的多层螺旋CT(MSCT)表现。方法收集经临床和实验室检查等证实为急性胰腺炎且影像资料完整的病例43例,回顾性分析亚腹膜间隙受累的CT特征。结果亚腹膜受累时表现为亚腹膜密度增高或积液。其中小肠系膜受累38例(88%);横结肠系膜23例(53%),肝十二指肠韧带17例(40%),肝胃韧带16例(37%),脾胃韧带21例(49%),大网膜8例(19%)。结论 MSCT检查可准确显示急性胰腺炎累及亚腹膜间隙的范围和部位。
Objective To investigate the performance of multislice spiral CT (MSCT) in the treatment of acute pancreatitis involving the subperiosteal space. Methods A total of 43 cases with acute pancreatitis and complete imaging data, including clinical and laboratory tests, were collected. The CT features of subperiosteal clearance involvement were retrospectively analyzed. Results Subperiosteal involvement showed increased sub-peritoneal density or effusion. There were 38 cases (88%) with small mesenteric involvement, 23 cases (53%) with transverse mesocolon, 17 cases with hepatoduodenal ligament (40%), 16 cases with hepatic and gastric ligaments (37% 49%), omentum in 8 cases (19%). Conclusion MSCT can accurately show the extent and location of subperiosteal space involvement in acute pancreatitis.