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目的:分析急性胰腺炎的CT表现特征。方法回顾性总结38例经临床及实验室检查证实急性胰腺炎患者,全部病例均进行CT平扫,其中12例患者做增强扫描,按CT影像学特点并结合临床资料进行总结。结果单纯性胰腺炎33例,坏死性胰腺炎5例。CT表现主要是胰腺的弥漫性增大,密度降低,5例有不规则低密度区,35病例胰周有范围和程度不一的蜂窝织炎性积液,10例腹膜后纤维筋膜肿胀、增厚。结论CT检查是诊断急性胰腺炎有效的影像学方法,增强CT扫描对胰腺的坏死及渗液范围的判断有很大价值,及时、准确、合理地运用CT扫描技术进行诊断,对急性胰腺炎及其并发症的治疗起着重要作用。
Objective: To analyze the CT features of acute pancreatitis. Methods 38 cases of acute pancreatitis confirmed by clinical and laboratory tests were retrospectively reviewed. CT scanning was performed in all cases. Twelve of them underwent enhanced scanning and were summarized according to CT features and clinical data. Results 33 cases of simple pancreatitis, 5 cases of necrotizing pancreatitis. CT showed mainly diffuse pancreatic increased density decreased in 5 cases of irregular low-density area, 35 cases of pancreatic peripancreatic have varying degrees and degrees of cellular inflammatory effusion, 10 cases of retroperitoneal fascia swelling, Thickening Conclusion CT examination is an effective imaging method for the diagnosis of acute pancreatitis. It is of great value to enhance the judgment of the extent of necrosis and exudation of pancreas by CT scan. It can be diagnosed timely, accurately and reasonably using CT scanning. The treatment of complications plays an important role.