[摘要] 目的：评价多层螺旋CT对急性胰腺炎的诊断价值。方法：对经临床和手术明确诊断，经多层螺旋CT检查的68例急性胰腺炎病例进行回顾性分析、评价。结果：68例中CT诊断为急性水肿型胰腺炎48例，急性坏死型胰腺炎20例，其中3例经手术证实，65例经临床、实验室及腹腔穿刺证实。结论：多层螺旋CT是诊断急性胰腺炎的简便、有效的方法，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。

    [关键词] 急性胰腺炎；CT诊断；增强扫描

    [中图分类号]R576 [文献标识码]B [文章编号]1673-7210(2008)06(b)-096-02

    Accuracy of multi-slice Spiral CT in diagnosis of acute pancreatitis

    WEI Ying-wei,LI Xin,Zhong Lan-sheng

    (The Department of Radiology, The Center People's Hospital of Huizhou,Huizhou 516001,China)

    [Abstract] Objective: To evaluate the value of Multi-slice Spiral CT in diagnosis of acute pancreatitis. Methods:To evaluate 68 cases with acute pancreatitis diagnosised by operation,clinical symptoms and inspected by CT.Results: In these 68 cases, 48 cases were diagnosised acute edema-type pancreatitis and 20 cases were diagnosised acute necrosis-type pancreatitis by CT, and in which 3 cases were proved by operation and 65 cases were proved by clinical symptoms, laboratory tests and abdomen puncture.Conclusion: Multi-slice Spiral CT is an easy and effective way in diagnosis of acute pancreatitis.Especially, the enhancement scanning has high sensitivity in identifying types of acute pancreatitis. ......