[1]张力凡.彩超与CT检查在急性胰腺炎中的诊断价值[J].医学信息,2022,35(19):133-135.[doi:10.3969/j.issn.1006-1959.2022.19.038]
　ZHANG Li-fan.Diagnostic Value of Color Doppler Ultrasound and CT in Acute Pancreatitis[J].Journal of Medical Information,2022,35(19):133-135.[doi:10.3969/j.issn.1006-1959.2022.19.038]
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彩超与CT检查在急性胰腺炎中的诊断价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年19期
页码:
133-135
栏目:
诊疗技术
出版日期:
2022-10-01

文章信息/Info

Title:
Diagnostic Value of Color Doppler Ultrasound and CT in Acute Pancreatitis
文章编号:
1006-1959（2022）19-0133-03
作者:
张力凡
（天津市西青医院放射科，天津 300380）
Author(s):
ZHANG Li-fan
(Department of Radiology,Tianjin Xiqing Hospital,Tianjin 300380,China)
关键词:
彩超; CT平扫; 增强CT; 急性胰腺炎
Keywords:
olor Doppler ultrasound; CT non-contrast enhanced scan; Enhanced CT; Acute pancreatitis
分类号:
R576
DOI:
10.3969/j.issn.1006-1959.2022.19.038
文献标志码:
A
摘要:
目的 比较彩超、CT平扫与增强CT检查在急性胰腺炎中的诊断价值。方法 选取2020年5月-2021年5月我院诊治的74例急性胰腺炎患者为研究对象，均行彩超、CT平扫与增强CT检查，比较不同检查方法急性胰腺炎阳性率、重症急性胰腺炎检出率、不同分型（水肿型、坏死出血型）检出率及不同检查方法诊断效能。结果 CT平扫、增强CT检查急性胰腺炎阳性率、重症急性胰腺炎检出率均高于彩超检查（P＜0.05），但CT平扫与增强CT急性胰腺炎阳性率比较，差异无统计学意义（P＞0.05），CT增强检查重症急性胰腺炎检出率高于CT平扫检查（P＜0.05）。不同检查水肿型急性胰腺炎检出率比较，差异无统计学意义（P＞0.05），CT平扫、增强CT检查坏死出血型急性胰腺炎检出率均高于彩超检查，且增强CT检查高于CT平扫检查（P＜0.05）。CT平扫、增强CT检查敏感度、特异度、准确率均高于彩超声检查（P＜0.05），增强CT敏感度与平扫CT比较，差异无统计学意义（P＞0.05），但增强CT特异度、准确率均高于平扫CT（P＜0.05）。结论 在急性胰腺炎诊断中，彩超、CT平扫与增强CT检查均可获得较高的诊断价值，但与彩超、CT平扫比较，增强CT在重症急性胰腺炎、坏死出血型方面具有较高的敏感度和特异度。
Abstract:
Objective To compare the diagnostic value of color Doppler ultrasound, CT non-contrast enhanced scan and enhanced CT scan in acute pancreatitis.Methods A total of 74 patients with acute pancreatitis diagnosed and treated in our hospital from May 2020 to May 2021 were selected as the research objects. All patients underwent color Doppler ultrasound, CT non-contrast enhanced scan scan and enhanced CT examination. The positive rate of acute pancreatitis, the detection rate of severe acute pancreatitis, the detection rate of different types (edema type, necrotic hemorrhage type) and the diagnostic efficacy of different examination methods were compared.Results The positive rate of acute pancreatitis and the detection rate of severe acute pancreatitis in CT non-contrast enhanced scan and enhanced CT examination were higher than those in color Doppler ultrasound examination (P<0.05); however, there was no significant difference in the positive rate of acute pancreatitis between CT non-contrast enhanced scan and enhanced CT (P>0.05), but the detection rate of severe acute pancreatitis by CT enhanced scan was higher than that by CT non-contrast enhanced scan (P<0.05). There was no significant difference in the detection rate of edematous acute pancreatitis between different examinations (P>0.05); the detection rates of necrotic hemorrhagic acute pancreatitis by CT non-contrast enhanced scan and enhanced CT were higher than those by color Doppler ultrasound, and the detection rate of enhanced CT was higher than that of CT non-contrast enhanced scan scan (P<0.05). The sensitivity, specificity and accuracy of CT non-contrast enhanced scan scan and enhanced CT were higher than those of color Doppler ultrasound(P<0.05); there was no significant difference in sensitivity between enhanced CT and CT non-contrast enhanced scan (P>0.05), but the specificity and accuracy of enhanced CT were higher than those of CT non-contrast enhanced scan (P<0.05).Conclusion In the diagnosis of acute pancreatitis, color doppler ultrasound, CT non-contrast enhanced scan and enhanced CT examination can obtain higher diagnostic value, but compared with color Doppler ultrasound and CT non-contrast enhanced scan, enhanced CT has higher sensitivity and specificity in severe acute pancreatitis and hemorrhagic necrosis.

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更新日期/Last Update: 1900-01-01