急性胰腺炎在螺旋CT诊断中的应用

探讨螺旋CT在急性胰腺炎诊断中的价值。回顾分析2002-2004年经临床和螺旋CT确诊的急性胰腺炎52例,其中男37例,女15例。所有病例均经CT平扫,其中增强扫描7例。根据胰腺坏死程度分轻度、中度和重度。轻度为斑片状坏死,中度为段状坏死,重度为整个胰腺坏死。水肿性胰腺炎34例,出血坏死性胰腺炎18例。按Balthazarf分级:A级3例,B级7例,C级16例,D级14例,E级12例。根据胰腺坏死程度分轻度6例,中度9例, 重度11例。螺旋CT检查对急性胰腺炎具有定性诊断价值。CT分级及胰腺坏死程度对急性出血坏死性胰腺炎病情的判断有很大价值。

Application of spiral CT in diagnosis of acute pancreatitis

To evaluate the diagnosis of acute pancreatitis with spiral CT. 52 patients, 37 male and 15 female were retrospectively analyzed with routine spiral CT and 7 patients we re enhanced scans. Acute pancreatitis was classified into 3 types according to the extent of tissue necrosis of the pancreas: In the first type, they were points or pieces of scattered necrosis in the pancreas, the second type were section of necrosis in the pancreas and the third type were the whole of tissue necrosis of the pancreas. Clinically, edematous pancreatitis was found in 34 cases and necrosis pancreatitis in 18 cases, According to the CT features, grade A pancreatitis occurred in 3 cases, grade B in 7 cases, grade C in 16 cases, grade D in 14 cases and grade E 12 cases. the first type 6 cases, the second type 9 cases and the third type 11 cases. Spiral CT is valuable for diagnosis of acute pancreatitis. Grading of the CT features if helpful to judge the prognosis of patients with acute pancreatitis.