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目的:探讨增强CT在急性胰腺炎病情分级中的诊断价值。方法:2013年1月到2016年8月选择在我院诊治的急性胰腺炎患者52例作为研究对象,均进行常规平扫与增强扫描。结果:在直接征象中,两种扫描方法的胰腺增大检出率比较差异不具有统计学意义(P>0.05),而胰腺点片状坏死与边缘模糊的检出率则具有统计学意义(P<0.05),间接征象的检出中,增强扫描检出的胰周渗出与肾前筋膜增厚明显优于常规平扫(P<0.05)。CT增强扫描胰腺炎Balthazar分级优于常规平扫,差异比较具有统计学意义(P<0.05)。结论:增强CT在急性胰腺炎病情分级中的诊断具有很好的影像学特征与分级价值,值得在临床上推广应用。
Objective: To investigate the value of enhanced CT in the diagnosis of acute pancreatitis. Methods: From January 2013 to August 2016, 52 patients with acute pancreatitis who were selected for diagnosis and treatment in our hospital were included in the study. All patients underwent routine plain scan and contrast-enhanced scan. Results: There was no significant difference in the detection rate of pancreatic enlargement between the two scanning methods (P> 0.05), while the detection rate of pancreatic punctate necrosis and edge blur was statistically significant ( P <0.05). In the detection of indirect signs, the perioperative peripancreatic effusion and prerenal fascia thickening detected by enhanced scan were significantly better than conventional plain scan (P <0.05). The Balthazar grade of CT enhanced pancreatitis was better than that of conventional plain film, the difference was statistically significant (P <0.05). Conclusion: CT in diagnosis of acute pancreatitis has good imaging features and grading value, which is worth popularizing in clinic.