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目的探讨急性胰腺炎的螺旋CT诊断结果,并对其临床应用价值进行分析。方法选取我院2015年1月到2016年的3月收治的急性胰腺炎患者56例作为研究对象,所有患者均在治疗前接受过多层螺旋CT扫描,观察患者的CT影像学资料,并对其进行分级,将其与最终病理诊断结果进行对照,计算螺旋CT诊断的准确率。同时,记录不同分级患者的预后效果。结果经多层螺旋CT诊断,共检出急性水肿型胰腺炎和急性出血型胰腺炎的患者各有34例、22例,将其与最终病理诊断结果进行对照,诊断准确率分别为88.2%和95.5%,后者显著高于前者,比较有统计学差异(P<0.05)。急性胰腺炎的总诊断准确率为91.1%。同时,D级+E级死亡率(22.7%)显著高于A级+B级+C级(0),比较有统计学差异(P<0.05)。结论通过多层螺旋CT诊断急性胰腺炎准确率高,且能对患者的治疗、预后评估等提供可靠依据,值得临床推广应用。
Objective To investigate the diagnosis of acute pancreatitis by spiral CT and analyze its clinical value. Methods Fifty-six patients with acute pancreatitis admitted to our hospital from January 2015 to March 2016 were selected as subjects. All patients underwent multi-slice spiral CT before treatment. CT images of the patients were observed. It was graded and compared with the final pathological diagnosis to calculate the diagnostic accuracy of spiral CT. At the same time, the prognosis of different grading patients were recorded. Results There were 34 cases and 22 cases of acute edematous pancreatitis and acute hemorrhagic pancreatitis diagnosed by multi-slice spiral CT respectively. The accuracy of the diagnosis was 88.2% 95.5%, the latter was significantly higher than the former, with a statistically significant difference (P <0.05). The overall diagnostic accuracy of acute pancreatitis was 91.1%. At the same time, the mortality of grade D + grade E (22.7%) was significantly higher than that of grade A + grade B + grade C (0) (P <0.05). Conclusion The diagnosis of acute pancreatitis by multi-slice spiral CT has high accuracy and can provide reliable evidences for the treatment and prognosis of patients. It is worthy of clinical application.