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目的评价多层螺旋CT平扫和增强扫描对急性胰腺炎的诊断价值。方法回顾性分析经手术及临床证实的36例急性胰腺炎患者的CT扫描资料,重点评价CT在急性胰腺炎诊断中的价值。探讨CT表现和预后的关系。结果本组36例急性胰腺炎患者除1例胰腺实质表现正常外,其余35例胰腺均呈局限或普遍性肿胀,以体尾为著。17例在胰腺实质内可见点状或小片状低密度区,3例可见高密度出血灶,增强扫描低密度的坏死病灶与增强的正常胰腺组织形成明显的对比。胰腺包膜增厚7例,包膜不清5例。结论 CT作为无创性检查技术,对急性胰腺炎有明确的诊断价值。
Objective To evaluate the value of multi-slice spiral CT in the diagnosis of acute pancreatitis. Methods The CT scan data of 36 patients with acute pancreatitis confirmed by surgery and clinically were retrospectively analyzed. The value of CT in the diagnosis of acute pancreatitis was emphasized. To explore the relationship between CT findings and prognosis. Results In the group of 36 patients with acute pancreatitis in addition to a case of normal pancreatic parenchyma performance, the remaining 35 cases showed limited or generalized pancreas swelling, with the tail as the body. In 17 cases, parenchyma or small lamellar low density area was seen in the parenchyma of the pancreas. High-density hemorrhagic foci were observed in 3 cases, and contrast-enhanced necrotic lesion enhanced with enhanced normal pancreatic tissue. Pancreatic capsule thickening in 7 cases, 5 cases of undiagnosed. Conclusion As a noninvasive technique, CT has definite diagnostic value for acute pancreatitis.