论文部分内容阅读
目的:探讨超声造影在重型急性胰腺炎(SAP)诊断中的应用价值。方法:回顾性分析126例急性胰腺炎患者的常规超声和超声造影图像,并与CT结果进行对照分析。结果:在126例患者中,常规超声显示38.1%的患者(48/126)胰腺体积增大伴实质欠均匀,其显示急性液体积聚与CT检出率差异无统计学意义。在30.16%(38/126)的患者中,超声造影提示在胰腺实质局灶或整体内无造影剂灌注,提示为胰腺坏死组织,超声造影与增强CT诊断重型急性胰腺炎的坏死程度二者差异无统计学意义。结论:重型急性胰腺炎是临床急症,超声是其首选的影像学诊断技术之一,超声造影为重型急性胰腺炎的床旁早期准确诊断提供了方便、快捷和有效的方法。
Objective: To investigate the value of contrast-enhanced ultrasound in the diagnosis of severe acute pancreatitis (SAP). Methods: A retrospective analysis of 126 cases of acute pancreatitis in patients with conventional ultrasound and contrast-enhanced ultrasound imaging and CT results were analyzed. RESULTS: Of the 126 patients, conventional ultrasound showed that the volume of the pancreas was increased and accompanied by a substantial under-uniform in 38.1% of the patients (48/126), showing no significant difference in acute fluid accumulation and CT detection. In 30.16% (38/126) of the patients, contrast-enhanced ultrasound revealed no contrast agent perfusion in the focal or overall pancreas, suggesting that pancreatic necrosis was the difference between CEUS and CT in the diagnosis of severe acute pancreatitis No statistical significance. Conclusion: Severe acute pancreatitis is a clinical emergency. Ultrasound is one of the most preferred imaging diagnostic techniques. Contrast ultrasound provides a convenient, rapid and effective method for early bedside accurate diagnosis of severe acute pancreatitis.