【摘要】 目的：探讨ＣＴ对急性胰腺炎的诊断价值。材料与方法：对５０例经手术病理证实和ＣＴ复查确诊的急性重症胰腺炎进行回顾性分析。全部病例作平扫，其中６例加作增强。检查前不口服造影剂。结果：水肿型２７例，坏死型２３例，其中８例合并感染。均有较典型的ＣＴ表现，肿胀出现率最高，４５例（９０％）；其次为胰外渗液，４２例（８４％）；再其次为胰腺坏死，２３例（４６％）。结论：ＣＴ检查对急性重症胰腺炎具有较高诊断价值，高于超声，不仅能明确诊断而且有助临床定量，可发现并发症和判断预后。更多还原

【Abstract】 Objective: To judge the value of CT in the diagnosis of acute pancreatitis. Materials and Methods:50 cases of acute severe pancreatitis confirmed by operation, pathology and CT reexamination were reviewed. All patients underwent CT plain scanning, six cases complemented with contrast enhanad scanning. No oral contrast agents were used. Results:According to CT findings, they were devided into edematous type (n=27) and necrotic type (n=23). Eight cases were complicated with infection. Swelling in 45 cases (90%), exudation in 42 cases (84%), necrosis in 23 cases (46%).Conclusion: CT is valuable in the diagnosis of acute severe pancreatitis, meanwhile, it is helpful to fix quantity, show complications, and estimate prognosis.更多还原