摘要
目的评价分析急性胰腺炎(AP)患者的严重程度,为临床正确诊断提供科学合理的参考依据。方法选择2015年3月~2016年10月期间我院收治的急性胰腺炎患者87例,所有87例患者均行常规超声、CT常规扫描和增强扫描,比较两种诊断方式的确诊率。结果 CT检查结果对急性水肿型胰腺炎、急性坏死型胰腺炎而显著地高于彩色超声检查结果(χ~2=13.1680、5.0806,P<0.05),而在胰周、腹腔积液结果而明显的低于彩色超声检查结果(χ~2=1.8413,P<0.05),CT检查对AP及急性胆源性胰腺炎的确诊率显著地高于彩色超声检查,均有统计学差异(χ~2=5.7906、16.3068,P<0.05)。结论 CT在AP诊断中能够提供较为明显成像,安全性高,准确无创,提供可靠的影像学依据,增强CT扫描还可对患者的出血、坏死情况准确掌握,能够及早的选择有效的治疗方法,提高临床治疗效果。
Objective To evaluate the severity of acute pancreatitis （AP） patients, to provide a scientific and reasonable clinical basis for the correct diagnosis. Methods 87 patients with acute pancreatitis were treated in our hospital from March 2015 to October 2016. 87 patients were given conventional ultrasound and CT examination. The diagnostic rate of the two diagnostic methods was compared. Results The results of CT examination were significantly higher than those of color Doppler ultrasonography in acute edematous pancreatitis and acute necrotizing pancreatitis（χ2=13.1680, 5.0806, P 〈0.05）, and in the peripancreatic and peritoneal effusions were significantly lower than color ultrasonography （χ2 = 1.8413, P 〈0.05）. The diagnosis rate of CT examination on AP and acute biliary pancreatitis was significantly higher than that of color Doppler ultrasonography, and there were statistical differences （χ2=5.7906, 16.3068, P 〈0.05）. Conclusion CT can provide more visible imaging in AP diagnosis. It is high safety, noninvasive, reliable imaging evidence. Enhanced CT scan can early effective treatment method, and improve the clinical treatment effect.
出处
《中国医药科学》
2017年第23期160-162,共3页
China Medicine And Pharmacy
