胰腺炎并发假性囊肿或积液的CT诊断、分型与命名的探讨(附30例分析)

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本文报导我院1993-01~1994-08CT检查发现65例胰腺炎中30例并发胰内和/或胰外积液或假性囊肿。本组病例表明该病CT表现复杂,提出以胰腺为主体、依其积液由近(胰内)至远(远离胰腺的器官或组织)的扩展来分型和命名,即胰内;胰内并胰周;胰周;胰内伴胰外(异位);胰周胰外;胰外等六型。多部位冠以“多发”,非囊状称“积液”。此分型能确切地、全面地反映该病受累范围在CT上的实际表现,又便于临床采取有效治疗措施.CT的密度分辨率高,扫描覆盖面广,比B-US更全面而准确地发现早期病变和展示出病变与其周围的解剖关系与定位,对提高本病的早期诊治、监测疗效和预后起着极为重要的作用。 This article reports our hospital from 1993-01 ~ 1994-08CT examination found that 65 cases of pancreatitis in 30 cases complicated with pancreatic and / or pancreatic effusion or pseudocyst. The group of patients showed that the performance of CT complicated disease, the proposed pancreas as the main body, according to their effusion from near (pancreatic) to far (away from the pancreas organ or tissue) to expand the type to be named and named pancreatic; pancreas And peripancreatic; peripancreatic; pancreatic with pancreatic (ectopic); peripancreas pancreas; pancreas and other six types. Multi-part crown with “multiple”, non-cystic said “fluid.” This classification can accurately and fully reflect the extent of involvement of the disease on the CT’s actual performance, but also facilitate the clinical treatment to take effective measures. CT has high density resolution and wide scan coverage. It can detect early lesions more comprehensively and accurately than B-US and display the anatomic relationship and localization of the lesions and their surroundings. It plays an extremely important role in improving the early diagnosis, treatment efficacy and prognosis of the disease Important role.
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