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目的 评价急性胰腺炎的CT诊断价值。方法 回顾性分析57例急性胰腺炎的CT征象,并将急性胰腺炎分为单纯水肿型、出血坏死型和合并感染型二个临床类型。结果 57例中,急性单纯水肿型26例,出血坏死型20例,合并感染型11例。31例经手术治疗,其中2例术后死亡,单纯水肿型26例均经保守治疗,55例均治愈出院。结论 胰腺炎的诊断并不困难,重要的是对其正确的临床分型,早期发现胰腺的出血、坏死是提高治愈和生存的关键。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. Methods A retrospective analysis of 57 cases of acute pancreatitis CT signs and acute pancreatitis were divided into simple edema, hemorrhagic necrosis and combined infection of two clinical types. Results Among the 57 cases, 26 cases were acute simple edema, 20 cases were hemorrhagic necrosis and 11 cases were complicated with infection. Thirty-one patients were surgically treated, of whom 2 died after operation and 26 patients with simple edema were treated conservatively. All 55 patients were cured. Conclusion The diagnosis of pancreatitis is not difficult, it is important that its correct clinical classification, early detection of pancreatic hemorrhage, necrosis is the key to improving cure and survival. CT enhanced scan can not only confirm the diagnosis and type of pancreatitis, but also to provide a reasonable clinical treatment programs and to make prognostic judgments.