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目的探讨急性胰腺炎螺旋CT影像学特征及其临床价值。方法收集2012年4月至2014年3月145例经临床确诊为急性胰腺炎患者的临床和CT资料,对其CT表现进行回顾性分析。结果 21例(14.5%)胰腺CT无异常,13例(9.0%)可疑异常,111例(76.6%)呈急性胰腺炎征象改变。主要CT表现:胰腺呈弥漫性或局限性肿大,密度减低或不均匀;胰周组织呈不同程度的渗出、肾前筋膜增厚、蜂窝组织炎、假性囊肿及脓肿形成;胸腹腔积液。结论螺旋CT对急性胰腺炎的诊治有较高的临床价值,有助于评估病情严重度和进展,发现并发症及判断预后。
Objective To investigate the spiral CT features of acute pancreatitis and its clinical value. Methods The clinical and CT data of 145 clinically diagnosed acute pancreatitis patients from April 2012 to March 2014 were collected and their CT findings were retrospectively analyzed. Results 21 cases (14.5%) had no abnormality of CT, 13 cases (9.0%) were suspicious, and 111 cases (76.6%) showed signs of acute pancreatitis. The main CT manifestations were diffuse or limited pancreatic enlargement, reduced density or uneven; peripancreatic tissue showed different degrees of exudation, prerenal fascia thickening, cellulitis, pseudocyst and abscess formation; thoracic and abdominal cavity Fluid. Conclusion Spiral CT has a high clinical value in the diagnosis and treatment of acute pancreatitis, which is helpful to evaluate the severity and progression of the disease, find the complication and judge the prognosis.