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目的:探讨腹部CT平扫联合彩色多普勒超声检查对急性胰腺炎的诊断价值。方法:选取2010年7月-2014年7月富阳市第二人民医院收治的120例确诊为急性胰腺炎的患者作为观察研究对象,根据检查所采用的不同手段将患者分成两组:单纯的腹部CT平扫检查组(Ⅰ组,48例),腹部CT平扫联合彩色多普勒超声检查组(Ⅱ组,72例),分析两种不同检查手段的急性胰腺炎的诊断符合率。结果:单纯CT诊断急性胰腺炎的符合率为66.7%,腹部CT联合彩超诊断急性胰腺炎的符合率为87.5%,两组间的比较差异有统计学意义(P<0.05)。腹部CT平扫联合彩色多普勒超声检查对急性胆源性胰腺炎的诊出率明显高于单纯的腹部CT平扫检查,差异有统计学意义(P<0.05)。结论:腹部CT联合彩超检查可明显提高急性胰腺炎的诊断符合率,在条件容许的情况下,应该鼓励腹部CT平扫联合彩色多普勒超声对早期急性胰腺炎进行确诊,以期许及时治疗从而改善患者的临床预后。
Objective: To investigate the diagnostic value of abdominal CT combined with color Doppler ultrasonography in the diagnosis of acute pancreatitis. Methods: A total of 120 patients diagnosed as acute pancreatitis admitted to Fuyang Second People’s Hospital from July 2010 to July 2014 were selected as observation subjects. Patients were divided into two groups according to different means of examination: simple abdomen CT plain scan group (group Ⅰ, 48 cases), abdominal plain CT scan combined with color Doppler ultrasound group (group Ⅱ, 72 cases), two different means of diagnosis of acute pancreatitis diagnostic coincidence rate. Results: The coincidence rate of CT diagnosis of acute pancreatitis was 66.7%. The coincidence rate of abdominal CT and color Doppler ultrasound diagnosis of acute pancreatitis was 87.5%. The difference between the two groups was statistically significant (P <0.05). Abdominal CT combined with color Doppler ultrasonography in the diagnosis of acute biliary pancreatitis was significantly higher than the simple abdominal plain CT examination, the difference was statistically significant (P <0.05). Conclusion: CT combined with ultrasound examination can significantly improve the diagnosis of acute pancreatitis coincidence rate, where conditions permit, abdominal CT scan should be encouraged combined with color Doppler ultrasound diagnosis of early acute pancreatitis in order to allow timely treatment thus Improve patient’s clinical prognosis.