急诊胰腺损伤患者的多层螺旋CT表现及诊断价值研究

目的分析急诊胰腺损伤患者多层螺旋CT表现及其诊断价值。方法回顾性分析2012年5月~2015年5月于我院经手术及临床随访证实为急诊胰腺损伤的26例患者的临床资料,所有患者入院后均接受多层螺旋CT扫描,且影像学资料完整,总结急诊胰腺损伤患者多层螺旋CT特点,分析螺旋CT在急诊胰腺损伤患者诊断中的应用价值。结果本组26例胰腺损伤患者,初诊共明确诊断21例,诊断准确性为80.77%。其中浅表性组织损伤16例,其中11例合并严重损伤,且均经手术证实,其中腺体部假性囊肿并出血2例,胰尾裂伤2例,胰腺表层局灶性或弥漫性出血7例。结论采用多层螺旋CT检查,可提高急诊胰腺损伤患者诊断符合度,为治疗方式的确立提供参照,但同样有其局限性,需配合随诊及CT复查。

Manifestations and Diagnostic Value of Multi-slice Spiral CT in Patients with Emergency Pancreatic Trauma

Objective To analyze the manifestations and diagnostic value of multi-slice spiral CT in patients with emergency pancreatic trauma.Methods The clinical data of 26 patients with emergency pancreatic trauma confirmed by operation and clinical follow-up in our hospital from May 2012 to May 2015 were retrospectively analyzed. After admission, all patients underwent multi-slice spiral CT scanning, and the imaging data were complete. The features of multi-slice spiral CT in patients with emergency pancreatic trauma were summarized. The application value of spiral CT in the diagnosis of patients with emergency pancreatic trauma was analyzed.Results In the group of 26 patients with pancreatic trauma, 21 cases were newly diagnosed and the diagnostic accuracy was 80.77%. 16 cases were with superficial tissue injury, including 11 cases with severe injury, and all of them were confirmed by operation. There were 2 cases with pancreatic false cysts, 2 cases with pancreatic tail laceration and 7 cases with pancreatic superficial focal or diffuse hemorrhage.Conclusion To adopt multi-slice spiral CT examination can improve the conformity in the diagnosis of patients with emergency pancreatic trauma and provide a reference for the establishment of treatment, but it also has limitations, which needs to cooperate with follow-up and CT reexamination.