急性胰腺炎26例CT影像学分析
【摘要】 目的 探讨急性胰腺炎发病早期的CT表现及诊断要点。方法 回顾性分析26例临床资料完整的急性胰腺炎CT表现。结果 26例急性水肿型胰腺炎，其中5例CT检查见胰腺形态、大小正常，胰腺弥漫性肿大9例，胰头肿大5例，胰体肿大4例，胰尾肿大3例。急性出血坏死性胰腺炎4例，主要CT表现胰腺增大，密度不均，可见出血坏死病灶，增强扫描呈不均匀性强化，并发胰周积液、肾旁间隙积液及肾旁筋膜增厚，假性囊肿和脓肿形成。结论 对于急性胰腺炎发病早期及时诊断，CT是一种很有价值的、无损伤的重要检查手段。【关键词】 急性胰腺炎；早期诊断；CTAcute pancreatitis: a report of 26 cases CT imaging analysis CUI Hongling，CUI Qqingzhou， CHEN Peng Luohe Central Hospital of Henan Province Department of Imaging，Luohe 462000,China
【Abstract】 Objective To investigate the pathogenesis of acute pancreatitis early CT findings and diagnosis Methods A retrospective analysis of 26 cases with complete clinical data of acute pancreatitis cT performance Results Of 26 cases of acute edematous pancreatitis, including 5 cases of CT examined pancreatic morphology, the size of a normal, diffuse pancreatic enlargement in 9 cases, pancreatic head enlargement in 5 cases, 4 cases of pancreatic body and tail of the pancreas swelling, swelling in 3 cases 4 cases of acute hemorrhagic necrotic pancreatitis, mainly CT manifestations of pancreatic enlargement, uneven density, visible necrotic lesions, enhanced scan showed inhomogeneous reinforcement, with peripancreatic effusion, renal parapharyngeal space effusion and perirenal fascia thickening, pseudocyst and abscess formation Conclusion The incidence of acute pancreatitis early and timely diagnosis, CT is a very valuable, no damage of the important means to check the acute pancreatitis. ......
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