外伤性胰腺炎的CT影像结果讨论

王喜忠1，高永华2

（1.陕西省榆林市干部保健局放射科，陕西 榆林，719000；2.陕西省榆林市星元医院，陕西 榆林，719000）

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摘要：

目的 探讨外伤性胰腺炎的CT影像结果。方法 选取我院2015年1月至2016年3月收治的22例外伤性胰腺炎患者为观察组，并选取25例普通性胰腺炎患者为对照组，均采用CT检查，观察两组患者CT影像表现特点及图像分析。结果 观察组患者的单个CT征象比例为63.64%，明显高于对照组的36.00%（P<0.05）；观察组患者CT检出小网膜积液、腹腔积液、周围脂肪间隙密度增高、胰腺形态大且结构不清的检出率均低于对照组（P<0.05）。结论 CT影像检查可有效鉴别外伤性胰腺炎与普通性胰腺炎，对外伤性胰腺炎有明显诊断价值，可临床推广使用。

关键词：外伤性胰腺炎；普通性胰腺炎；CT 表现

中图分类号：R657.51文献标志码：A文章编号：2096-1413(2017)20-0132-02

CT image results of traumatic pancreatitis
WANG Xi-zhong 1, GAO Yong-hua 2
(1. Department of Radiology, Yulin Municipal Health Care Bureau of Shaanxi Province, Yulin 719000; 2. Xingyuan Hospital

of Shaanxi Province, Yulin 719000, China)

ABSTRACT: Objective To investigate the CT imaging results of traumatic pancreatitis. Methods In our hospital from January 2015 to March 2016, 22 cases of patients with pancreatic traumatic pancreatitis were selected as observation group, and 25 cases of patients with common pancreatitis were selected as control group, all patients were treated CT examinations, the CT features and image of the two groups of patients were observed and analyzed. Results The proportion of single CT signs of the observation group was 63.64%, which was significantly higher than 36.00% of the control group (P<0.05). The detection rate of symptoms in the observation group were lower than those of the control group, such as small omental effusion, peritoneal effusion, the fat gap density around the pancreas increased and pancreatic morphology was large and the structure was unclear. The differences were statistically significant (P<0.05). Conclusion CT imaging can effectively identify traumatic pancreatitis and ordinary pancreatitis, it has obvious diagnostic value for traumatic pancreatitis, which is worthy of clinical application.
KEYWORDS: traumatic pancreatitis; general pancreatitis; CT expression

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