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目的:探讨CT对急性胰腺炎的诊断价值。材料与方法:对50例经手术病理证实和CT复查确诊的急性重症胰腺炎进行回顾性分析。全部病例作平扫,其中6例加作增强。检查前不口服造影剂。结果:水肿型27例,坏死型23例,其中8例合并感染。均有较典型的CT表现,肿胀出现率最高,45例(90%);其次为胰外渗液,42例(84%);再其次为胰腺坏死,23例(46%)。结论:CT检查对急性重症胰腺炎具有较高诊断价值,高于超声,不仅能明确诊断而且有助临床定量,可发现并发症和判断预后。
Objective: To investigate the diagnostic value of CT in acute pancreatitis. Materials and Methods: A retrospective analysis was performed on 50 cases of acute severe pancreatitis diagnosed by pathology and CT. All cases were plain scan, of which 6 cases plus for enhancement. Before examination, no oral contrast agent. Results: 27 cases were edematous and 23 cases were necrotic, of which 8 cases were complicated with infection. There were more typical CT findings with the highest incidence of swelling, 45 (90%); followed by pancreatic exudate, 42 (84%); followed by pancreatic necrosis, 23 (46%). Conclusion: CT examination of acute severe acute pancreatitis has a higher diagnostic value, higher than ultrasound, not only a clear diagnosis but also to help clinical quantitative, complications can be found and prognosis.