急性胰腺炎CT诊断价值的评价(附64例分析)

目的:评价CT对急性胰腺炎的诊断准确性。材料与方法:64例急性胰腺炎。男性24例,女性40例,年龄29～78岁,平均53.2岁,于临床症状出现2小时至7天内均经CT扫描。其中55例还经增强扫描。结果:64例中经CT诊断为急性水肿性胰腺炎49例,急性坏死性胰腺炎15例。5例经手术证实,59例经临床、实验及腹膜穿刺证实。结论:CT是目前诊断急性胰腺炎的最敏感的方法。特别是增强扫描对鉴别急性胰腺炎的病变类型具有很高的敏感性,值得首选。

Accuracy of CT In the Diagnosis of Acute Pancreatitis: Results in 64 Patients.

Purpose: To evaluate the diagnostic accuracy of CT in acute pancreatitis. Materials and methods: Sixty - four patients(24 men, 40 women; aged 29 - 78 years, mean age, 53. 2 years) with acute pancreatitis initially underwent CT scan within two hours to seven days after onset of clinical symptoms, 55 of them also additionally underwent the enhancement scan. Results: 49 cases of acute edema - type pancreatitis and 15 cases of acute necrosis - type pancreatitis were diagnosed by CT in all patients. Five patients were proven by the operation, and fivty - nine patients were proven through clinical symptoms and signs, laboratory and abdominal cavity puncture. Conclusions: CT is one of most sensitive methods in the diagnosis of acute pancreatitis, especially, the enhancement scan has high accuracy for identifing the types of lesions in acute pancreatitis, therefore, it is worthy to be selected firstly.