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目的:研究螺旋CT对急性胰腺炎的诊断价值。方法:对2011年2月~2012年2月我院收治并临床确诊的63例急性胰腺炎患者的螺旋CT诊断的影像学资料进行回顾性分析。结果:63例急性胰腺炎患者均经螺旋CT准确诊断,诊断符合率100%,其中急性水肿型胰腺炎47例(74.60%);急性出血坏死型胰腺炎16例(25.40%),CT征象主要为:胰腺局部或弥漫性增大,包膜增厚掀起,斑片状低密度灶等。结论:螺旋CT对急性胰腺炎诊断具有方便、有效等优势,能够直观、清晰的显示胰腺的内部以及周边脏器、组织的病变,可以判断胰腺炎的类型和评估患者的预后,为临床医生制定最佳治疗方法提供诊断依据,具有重要的临床应用价值。
Objective: To study the diagnostic value of spiral CT in acute pancreatitis. Methods: The imaging data of spiral CT in 63 patients with acute pancreatitis admitted to our hospital from February 2011 to February 2012 were analyzed retrospectively. Results: All the 63 patients with acute pancreatitis were correctly diagnosed by spiral CT. The diagnostic coincidence rate was 100%, including 47 cases of acute edematous pancreatitis (74.60%), 16 cases of acute hemorrhagic necrotizing pancreatitis (25.40%), As: local or diffuse pancreas increased thickening set off, patchy low-density stoves and so on. Conclusion: Spiral CT is convenient and effective for the diagnosis of acute pancreatitis. It can directly and clearly display the internal organs of the pancreas and the surrounding organs and tissues, and can determine the type of pancreatitis and evaluate the prognosis of patients. The best treatment provides the basis for diagnosis, which has important clinical value.