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目的观察超声检查在急性胰腺炎诊断中的效果。方法 125例急性胰腺炎患者,均给予CT检查和超声检查,比较两种检查方式的诊断结果。结果超声检查急性轻型胰腺炎的诊断符合率为74.5%,低于CT的96.1%,差异具有统计学意义(χ~2=18.9149,P=0.0000<0.05),超声和CT检查重型胰腺炎的诊断符合率比较差异无统计学意义(χ~2=1.0952,P=0.2953>0.05)。两种检查方式被膜模糊、实质回声改变、胰腺肿大确诊率比较差异无统计学意义(χ~2=0.2174、0.1717、0.3124,P=0.6410、0.6786、0.5751>0.05),超声检查腹腔积液确诊率高于CT,差异具有统计学意义(χ~2=11.6760,P=0.0006<0.05)。结论超声对急性胰腺炎具有较高的诊断价值,特别是相比于CT,其对腹腔积液的检出结果优势更为明显,临床可根据患者的具体症状表现,结合实验室和超声检查结果切实提高急性胰腺炎的确诊率,减少误诊或漏诊。
Objective To observe the effect of ultrasonography in the diagnosis of acute pancreatitis. Methods 125 patients with acute pancreatitis were given CT and ultrasound examinations, comparing the diagnostic results of the two test methods. Results The diagnostic accuracy of ultrasonography in acute pancreatitis was 74.5%, lower than 96.1% in CT, the difference was statistically significant (χ ~ 2 = 18.9149, P = 0.0000 <0.05). The diagnosis of severe pancreatitis by ultrasound and CT The coincidence rate showed no significant difference (χ ~ 2 = 1.0952, P = 0.2953> 0.05). There was no significant difference in the diagnostic rate of the two methods of examination (χ ~ 2 = 0.2174,0.1717,0.3124, P = 0.6410,0.6786,0.5751> 0.05). The echocardiography was used to diagnose the ascites The rate was higher than CT, the difference was statistically significant (χ ~ 2 = 11.6760, P = 0.0006 <0.05). Conclusion Ultrasound has a high diagnostic value for acute pancreatitis, especially compared with CT, the detection of peritoneal effusion has more obvious advantages, the clinical symptoms according to the patient’s performance, combined with laboratory and ultrasound findings Effectively improve the diagnosis of acute pancreatitis, reduce misdiagnosis or missed diagnosis.