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目的：评价急性胰腺炎的ＣＴ诊断价值，主要探讨ＣＴ增强扫描及术后复查的重要意义。材料与方法：９３例１２３次急性胰腺炎ＣＴ检查资料回顾分析。结果：９３例中，诊断急性水肿型胰腺炎５３例，急性坏死性胰腺炎４０例，合并胰腺出血２例，合并胰腺脓肿４例，合并假性囊肿８例。９３例中，３６例经手术治疗，其中２例术后死亡。其余５７例经保守治疗，９１例均治愈出院。结论：急性胰腺炎的诊断并不困难，重要的是对其正确的分型，以及早期发现胰腺的出血、坏死。急性胰腺炎手术前后的ＣＴ检查，尤其是ＣＴ增强扫描，不仅可肯定胰腺炎的诊断与类型，而且为临床提供合理的治疗方案及作出预后的判断。
Objective: To evaluate the value of CT in the diagnosis of acute pancreatitis and mainly discuss the significance of enhanced CT and postoperative review. Materials and Methods: A retrospective analysis of 93 cases of 123 acute pancreatitis CT examination data. Results: Among the 93 cases, 53 cases were diagnosed as acute edematous pancreatitis, 40 cases were acute necrotizing pancreatitis, 2 cases were complicated with pancreatic hemorrhage, 4 cases were complicated with pancreatic abscess and 8 cases were pseudocyst. Among the 93 cases, 36 were surgically treated, and 2 of them died after operation. The remaining 57 cases were conservative treatment, 91 cases were cured. Conclusion: The diagnosis of acute pancreatitis is not difficult, it is important for its correct classification, as well as early detection of pancreatic hemorrhage and necrosis. Before and after the acute pancreatitis CT examination, especially CT enhanced scan, not only can confirm the diagnosis and type of pancreatitis, but also to provide a reasonable clinical treatment program and to make a prognosis judgment.