论文部分内容阅读
目的探讨急性胰腺炎发病早期的CT表现及诊断要点。方法回顾性分析26例临床资料完整的急性胰腺炎CT表现。结果 26例急性水肿型胰腺炎,其中5例CT检查见胰腺形态、大小正常,胰腺弥漫性肿大9例,胰头肿大5例,胰体肿大4例,胰尾肿大3例。急性出血坏死性胰腺炎4例,主要CT表现胰腺增大,密度不均,可见出血坏死病灶,增强扫描呈不均匀性强化,并发胰周积液、肾旁间隙积液及肾旁筋膜增厚,假性囊肿和脓肿形成。结论对于急性胰腺炎发病早期及时诊断,CT是一种很有价值的、无损伤的重要检查手段。
Objective To investigate the CT manifestations and diagnosis points of early stage of acute pancreatitis. Methods A retrospective analysis of 26 cases of complete clinical data of acute pancreatitis CT. Results 26 cases of acute edematous pancreatitis, of which 5 cases of CT scan to see the pancreas morphology, size, diffuse pancreas in 9 cases, 5 cases of pancreatic enlargement, pancreatic enlargement in 4 cases, pancreatic tail enlargement in 3 cases. Acute hemorrhagic necrotizing pancreatitis in 4 cases, the main CT showed pancreatic enlargement, uneven density, showing hemorrhage and necrosis lesions, enhanced scanning was heterogeneous enhancement, complicated by peripancreatic fluid, para-renal interstitial fluid and para-fascia Thick, pseudocyst and abscess formation. Conclusion CT diagnosis is a valuable and non-invasive means of early diagnosis of acute pancreatitis.