摘要
目的 评价CT扫描对急性坏死性胰腺炎的诊断意义 ,探讨CT表现与其预后的关系。方法 对 5 0例急性坏死性胰腺炎CT表现进行回顾性分析 ,并与手术结果对照。结果 ①胰腺实质侵犯 :局限于胰头者 3例 (6 % ) ,体部者 2例 (4% ) ,头部和体部者 3例 (6 % ) ,体尾部者 2 4例 (48% ) ,头体尾部者 18例 (36 % )。②胰周侵犯 :小网膜囊受侵 47例 (94% ) ,左肾前间隙渗液伴肾前筋膜增厚 40例 (80 % ) ,右肾前间隙受侵 2 8例 (5 6 % )。结论 CT检查可了解胰腺实质坏死以及胰周侵犯的情况 ,根据坏死程度 ,作CT分类 。
Objective To study the diagnosis value of CT in acute necrosis pancreatitis and its relation to the prognosis.Methods 50 cases of acute necrosis pancreatitis were retrospectively analyzed and compared with laparotomy.Results ①Invading in pancreatic parenchyma:3 cases in head,2 cases in body,3 cases in head and body,24 cases in body and tail,18 cases in whole pancreas.②invading in peripancreas:47 cases in lesser omental bursa,40 cases fluid collections in the left anterior renal space,associated with the thicked fasia,28 cases in righy renal space.Conclusion CT scan could be used to know the necrosis of pancreas parenchyma and the invading of the surrounding tissue,CT classification in proposed according to the degree of the necrosis,which has an important role in the treatment and the outcome.
出处
《哈尔滨医科大学学报》
CAS
2001年第6期457-458,共2页
Journal of Harbin Medical University
