螺旋CT在急性胰腺炎诊断中的价值分析

目的探讨螺旋CT在急性胰腺炎诊断中的应用价值。方法回顾分析76例经临床确诊的急性胰腺炎病例的临床和CT影像学改变。结果临床诊断水肿型胰腺炎46例；急性坏死型胰腺炎30例。CT检查表现为胰腺肿大48例（64．5％）、密度改变22例（28．9％）、胰腺周围液体聚集8例（10．5％）、胰腺内坏死10例（14．4％）、并发假性囊肿6例（7．9％）、并发脓肿4例（5．2％）、并发蜂窝织炎12例（15．8％）、少量胸腔积液18例（23．6％）等影像学改变。结论螺旋CT是诊断急性胰腺炎的简便、有效影像学检查方法，对指导临床、正确诊断及制订治疗方案具有重要意义。

Spiral CT in the diagnosis of acute pancreatitis value analysis

Objective To evaluate the diagnostic valve of spiral CT in acute pancreatitis.Methods CT data of 76 cases of acute pancreatitis proved by clinic were analyzed retrospectively.Results There were 46 cases of acute edema type pancreatitis and 30 cases of acute necrosis type pancreatitis.48 cases pancreas showed diffuse largement(64.5%),22 cases varied in dentity(28.9%),8 cases were with peripancreatic space fluid collection(10.5%),10 cases necrosis of pancreas(14.4%),6 cases pseudocyst(7.9%),4 cases pancreatic abscess(5.2%),12cases phlegmon(15.8%)and 18 cases small quantity pleual(23.6%).Conclusion Spiral CT is an easy effective way.It plays an important role in directing clinical diagnosis and therapeutic projects.