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目的:探索临床上多层螺旋CT在急性胰腺炎诊断中的应用。方法:选取2009-2011年收治的急性胰腺炎患者60例,回顾性研究患者的CT影像表现及临床表现。结果:49例患者的胰腺体积明显增大,30例患者胰腺组织内部密度不均匀,胰腺包膜改变15例,34例患者出现胰腺轮廓模糊,胰周渗出有积液,26例患者肾旁筋膜增厚及脾肾间隙模糊,6例患者并发假性囊肿,同时还有4例患者腹腔少量积液。结论:多层螺旋CT可以准确、有效地确定患者急性胰腺炎的类型,且具有无创性,为急性胰腺炎的诊断、鉴别以及治疗方案的确定提供了良好的依据,值得临床推广。
Objective: To explore the clinical application of multi-slice spiral CT in the diagnosis of acute pancreatitis. Methods: Sixty patients with acute pancreatitis admitted from 2009 to 2011 were selected for retrospective study of CT imaging and clinical manifestations. Results: The volume of pancreas of 49 patients was significantly increased. The density of pancreas in 30 patients was non-uniform, the pancreas was changed in 15 cases. The pancreas of 34 patients was blurred, the peripancreatic effusion was effusion, Fascia thickening and vague spleen and kidney space, 6 patients complicated with pseudocyst, while 4 patients had a small amount of fluid in the abdominal cavity. Conclusion: MSCT can accurately and effectively determine the type of patients with acute pancreatitis, and noninvasive, which provides a good basis for the diagnosis, identification and treatment of acute pancreatitis. It is worthy of clinical promotion.