超声在急性胰腺炎诊断中的应用价值

摘要

Objective To investigate the diagnostic value of ultrasound in acute pancreatitis. Methods The results of ultrasound and CT examinations of 204 acute pancreatitis patients were analyzed. Results (1) The detection rate of ultrasound was significantly lower than CT in mild acute pancreatitis and were significantly higher than CT in peripancre-atic effusion and ascites(P<0.05). (2)In surgery patients.the detection rate of ultrasound were significantly lower than CT in pancreatic necrosis and abscess (P<0. 05) .the detection rate of ultrasound in lesser omental sac fluid and necrosis have no difference with CT(P>0. 05). Conclusion Ultrasound has a high diagnostic accuracy in acute pancreatitis and are better than CT in some aspects. Combination of using of ultrasound and CT have a good value on diagnosis and classification in acute pancreatitis.%目的 探讨超声对急性胰腺炎的诊断价值.方法 分析204例急性胰腺炎患者的超声及CT检查结果.结果 超声对轻型胰腺炎的检出率低于CT.对胰周和腹腔积液检出率高于CT(P＜0.05);手术治疗患者中,超声对胰腺组织坏死、脓肿的检出率低于CT(P＜0.05).对网膜囊积液坏死的检出率与CT比较无统计学差异(P＞0.05).结论 超声对急性胰腺炎的诊断准确率较高,某些方面优于CT,二者联合应用对急性胰腺炎的诊断和分型具有很好的价值.