摘要
胆源性胰腺炎是我国急性胰腺炎最常见类型,难点在于及时诊断相关并发症。病因诊断及病情严重程度评估均依赖于影像学检查。目前常用的几种影像学方法包括超声、CT扫描、MRI、胰泌素增强磁共振胰胆管成像、超声内镜以及内镜逆行胰胆管造影等,为临床医生诊断胆源性胰腺炎及相关并发症提供帮助。影像学检查在胆源性胰腺炎诊治过程中发挥着重要作用,合理选择适应证,有助于及时判断病情,更改治疗方案,改善病人预后。
Biliary pancreatitis is the most common type ofacute pancreatitis in China.The challenge of biliarypancreatitis lies in the prompt diagnosis of the relatedcomplications.The diagnosis of etiology and evaluation ofseverity of the disease depend on imaging examination.Severalcommonly imaging methods in diagnosis,includingultrasound,CT scan,MRI,(secretin-enhanced)magneticresonance cholangiopancreatography,endoscopicultrasonography,and endoscopic retrogradecholangiopancreatography are used to provide assistance forclinicians to diagnose biliary pancreatitis and relatedcomplications.Imaging examination plays an important role inthe diagnosis and treatment of biliary pancreatitis.Reasonableselection of indications is helpful to timely judge the condition,change the treatment plan and improve the prognosis ofpatients.
作者
蒋奎荣
袁昊
苗毅
JIANG Kui-rong;YUAN Hao;MIAO Yi(Pancreas Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《中国实用外科杂志》
CSCD
北大核心
2020年第11期1266-1270,共5页
Chinese Journal of Practical Surgery
基金
国家自然科学基金面上项目(No.81871980,No82072706)
江苏省科技厅临床前沿技术项目(No.BE2016788)
江苏省医学重点人才项目(No.ZDRCB2016004)
关键词
胆源性胰腺炎
超声
计算机断层显像
磁共振成像
磁共振胰胆管成像
胰泌素增强磁共振胰胆管成像
超声内镜
内镜逆行胰胆管造影
biliary pancreatitis
ultrasonography
computerized tomography
magnetic resonance imaging
magnetic resonance cholangiopancreatograpgy
secretin-enhanced magnetic resonance cholangiopancreatography
endoscopic ultrasonography
endoscopic retrograde cholangiopancreatography