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目的:回顾性CT影像诊断对急性胰腺炎的诊断价值。方法:取我院从2009年2月~2014年4月所收治的35例AP患者作为临床研究对象,所有患者均经临床确诊,所有患者同时进行CT平扫以及CT增强扫描。观察患者的确诊率和病理变化。结果:急性水肿行胰腺炎31例,出血坏死型胰腺炎4例。患者的CT诊断结果和临床诊断结果符合,CT诊断准确率达100.0%;全部35例患者可见胰腺局限性或者弥漫性肿胀;6例有不同程度胆胰管扩张;2例胰腺实质中点片状高密度出血;1例胰腺实质中点片状低密度坏死;胰外和远端器官受累的CT变化有胰周和肾前间隙变化、胰腺实质的CT变化和腹腔和胸腔病变。结论:急性胰腺炎患者的症状体征明确,配合CT检查,诊断AP的准确性高。同时CT检查有助于确定患者的病理状况,腹膜后扩散范围以及并发症,这些信息的确定对评价患者病情,确定治疗方案和预测治疗效果,都有十分重要的意义。
Objective: The diagnostic value of retrospective CT imaging in acute pancreatitis. Methods: Totally 35 AP patients admitted from February 2009 to April 2014 in our hospital were selected as clinical research subjects. All patients were clinically diagnosed. All patients underwent CT scan and CT scan simultaneously. Observe the patient’s diagnosis rate and pathological changes. Results: Acute edema in pancreatitis in 31 cases, 4 cases of hemorrhagic necrotizing pancreatitis. CT diagnostic results and clinical diagnosis of patients in line with the CT diagnostic accuracy rate of 100.0%; all 35 patients showed pancreas limitations or diffuse swelling; 6 cases of varying degrees of dilatation of the pancreatic duct; 2 cases of parenchyma at the midpoint 1 case of pancreatic parenchyma low density necrosis; pancreatic and distal organ involvement of CT changes were pancreatic and prerenal gap changes in the pancreas parenchymal CT changes and abdominal and chest lesions. Conclusion: The symptoms and signs of patients with acute pancreatitis are clear. With the help of CT examination, the accuracy of AP diagnosis is high. At the same time, CT examination can help determine the patient’s pathological conditions, the scope of retroperitoneal spread and complications, the information to determine the evaluation of the patient’s condition, to determine the treatment plan and predict the effect of treatment are of great significance.