急性胰腺炎；CT；扩散途径；解剖基础____

急性胰腺炎的CT表现及其扩散途径的解剖基础

http://www.100md.com 《实用医技杂志》 2006年第16期

急性胰腺炎；CT；扩散途径；解剖基础,,],急性胰腺炎；CT；扩散途径；解剖基础,1材料和方法,2结果,3讨论,参考文献：

     [摘要] 目的：熟悉腹部相关的解剖结构，全面认识急性胰腺炎(AP)的CT表现。方法：39例经临床确诊的AP病例均行螺旋CT平扫加增强。结果：2例为急性水肿性胰腺炎，表现为胰腺体积轻度增大，胰周脂肪间隙模糊；37例为急性坏死性胰腺炎，胰腺内均有低密度区，范围不等，渗出液明显，累及腹腔及腹膜后间隙，范围广泛，其中并发假囊肿者13例，脓肿1例，胰周小静脉扩张15例，伴有肠胀气者20例，胸腔积液29例。结论：熟悉腹部相关结构的解剖基础有助于全面正确地认识AP的CT表现，对临床治疗有重要指导意义。

    [关键词] 急性胰腺炎；CT；扩散途径；解剖基础

    CT Appearances of Acute Pancreatitis and Anatomic Bases of Its Extending Path

    LU Guiqing，LIU Linxiang，ZHOU Jingwei

    (Taishan Medical College，Taian，Shandong 271000，China)

    Abstract：Objective To understand completely the CT appearances of acute pancreatitis，and to know the concerning anatomic bases of abdomen.Methods 39 patients with acute pancreatitis confirmed by clinic underwent plain scan and enhanced scan with spiral CT.Results 2 patients were acute edematous pancreatitis，pancreates swollen slightly，peripancreatic fat became vague；37 patients were acute necrotizing pancreatitis，there werelowdensity areas in gland，accompanied obvious exudation，inflammation involved extensively abdominal cavity and retroperitoneal spaces.Of the 37 cases ......

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