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螺旋CT在急性胰腺炎诊断及预后评估中的应用价值
引用本文:赵宝平,高宗科,彭翁平,王伟明,周诗举.螺旋CT在急性胰腺炎诊断及预后评估中的应用价值[J].临床军医杂志,2008,36(5).
作者姓名:赵宝平  高宗科  彭翁平  王伟明  周诗举
作者单位:1. 解放军第537医院,陕西,宝鸡,721006
2. 解放军96251部队卫生处,河南,洛阳,471003
摘    要:目的研究探讨螺旋CT扫描在急性胰腺炎诊断及预后评估中的应用价值,为临床选择恰当的治疗方案提供理论依据。方法对我院46例经临床和手术明确诊断的急性胰腺炎CT征象进行分析评价,并进行CT分级。结果46例急性胰腺炎病例中,42例首次扫描诊断为急性胰腺炎,1例在复查CT扫描时确诊为急性胰腺炎,3例在首次及复查时CT均表现为正常。40例A、B、C级患者,经非手术治疗全部治愈;6例D、E级患者,其中4例非手术治疗,2例行手术治疗,预后均较好。结论CT扫描是诊断急性胰腺炎的重要方法,它不仅可以发现并发症,而且还可以准确地进行CT分级,对临床判断预后、制订正确的治疗方案,降低病死率、提高治愈率有重要意义。

关 键 词:体层摄影术  X线计算机  胰腺炎

Approach to Spiro-CT Diagnosis and Prognostic Assessment on Acute Pancreatitis
Zhao Bao-ping,Gao Zong-ke,Peng Weng-ping,Wang Wei-ming,Zhou Shi-ju.Approach to Spiro-CT Diagnosis and Prognostic Assessment on Acute Pancreatitis[J].Clinical Journal of Medical Officer,2008,36(5).
Authors:Zhao Bao-ping  Gao Zong-ke  Peng Weng-ping  Wang Wei-ming  Zhou Shi-ju
Institution:Zhao Bao-ping1,Gao Zong-ke1,Peng Weng-ping2,Wang Wei-ming1,Zhou Shi-ju1(1.PLA No.537 Hospital,Baoji 721006,China,2.Department of Health,No.96251 Armed Forces,Luoyang 471003,China)
Abstract:Objective To investigate the practical value of spiro-CT scan on diagnosis and prognostic assessment of acute pancreatitis in order to provide suitable theoretical foundation to clinical therapy.Methods Analysis and assessment were done on the CT images of 46 patients with acute pancreatitis confirmed by clinical and surgical findings,and classification was conducted.Results Of the 46 patients,45 were diagnosed as acute pancreatitis by the first scan,and one was diagnosed via recheck of CT scan.Among all th...
Keywords:tomography  computerized  pancreatitis  
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