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目的:探讨多层螺旋CT在急性出血性坏死型胰腺炎的诊断价值。方法:选择2013年1月至2015年12月来该院就诊的疑似急性出血性胰腺炎患者43例,进行多层螺旋CT影像扫描诊断。结果:43例疑似急性出血性胰腺炎患者存在不同程度的胰腺肿大、组织水肿、出血及其组织坏死,其中6例患者伴有假性囊肿。通过多层螺旋CT扫描显影,结合临床症状表现与临床生化项目检测分析,拟诊断普通急性胰腺炎患者35例、急性出血性坏死型胰腺炎患者6例、急性水肿性胰腺炎患者2例。结论:多层螺旋CT能直观诊断急性出血性坏死型胰腺炎,对临床肝胆外科急性出血性坏死型胰腺炎确诊有重要指导意义。
Objective: To investigate the diagnostic value of multi-slice spiral CT in acute hemorrhagic necrotizing pancreatitis. Methods: Forty-three patients with suspected acute hemorrhagic pancreatitis who visited our hospital from January 2013 to December 2015 were selected for multi-slice spiral CT imaging. Results: 43 cases of suspected acute hemorrhagic pancreatitis patients with varying degrees of pancreatic edema, tissue edema, hemorrhage and tissue necrosis, of which 6 patients with pseudocyst. By multi-slice spiral CT scan imaging, combined with clinical symptoms and clinical biochemical test results, it is proposed to diagnose 35 cases of common acute pancreatitis, 6 cases of acute hemorrhagic necrotizing pancreatitis and 2 cases of acute edematous pancreatitis. Conclusion: MSCT can diagnose acute hemorrhagic necrotizing pancreatitis intuitively, which is of great guiding significance for the diagnosis of acute hemorrhagic necrotizing pancreatitis in clinical hepatobiliary surgery.