CAJ | 학술논문

目的：探讨彩色多普勒超声对急性胰腺炎（AP）的诊断价值。方法92例 AP 患者分别经彩色多普勒超声及 CT 检查，对比其总体检出率及对不同临床征象的检出率，探讨两种方法对 AP 的诊断价值。结果超声与 CT 对水肿型 AP 的检出率比较无统计学差异（P＞0．05），而超声对坏死型 AP 的检出率显著低于 CT（P ＜0．05），CT 对 AP的总体阳性检出率显著高于超声（P ＜0．05）；超声与 CT 在胰腺实质不均匀、胰腺周围单个液区、胰腺周围脂肪层模糊、胰腺外周脓肿数量方面比较无统计学差异（P＞0．05），在胰腺内小灶性液区、胰腺外片状高密度影像方面 CT 阳性率显著高于超声（P ＜0．05），胰腺局限性增大、胰管扩张、胆总管结石方面，超声阳性率显著高于 CT（P ＜0．05或 P ＜0．01）。结论两种检查手段在 AP 诊断中各有所长，对于具有增强 CT 禁忌的患者，应及时选择超声检查。
목적：탐토채색다보륵초성대급성이선염（AP）적진단개치。방법92례 AP 환자분별경채색다보륵초성급 CT 검사，대비기총체검출솔급대불동림상정상적검출솔，탐토량충방법대 AP 적진단개치。결과초성여 CT 대수종형 AP 적검출솔비교무통계학차이（P＞0．05），이초성대배사형 AP 적검출솔현저저우 CT（P ＜0．05），CT 대 AP적총체양성검출솔현저고우초성（P ＜0．05）；초성여 CT 재이선실질불균균、이선주위단개액구、이선주위지방층모호、이선외주농종수량방면비교무통계학차이（P＞0．05），재이선내소조성액구、이선외편상고밀도영상방면 CT 양성솔현저고우초성（P ＜0．05），이선국한성증대、이관확장、담총관결석방면，초성양성솔현저고우 CT（P ＜0．05혹 P ＜0．01）。결론량충검사수단재 AP 진단중각유소장，대우구유증강 CT 금기적환자，응급시선택초성검사。
Objective To discuss the clinical value of color doppler ultrasound in the diagnosis of AP.Methods 92 patients with AP were inspected with color doppler ultrasound and CT,then the total relevance ratio and relevance ratio of different clinical signs were contrasted between the two methods of inspection.Results There was no significantly difference in relevance ratio on acute edematous pancreatitis between the two methods of inspection(P>0.05),rele-vance ratio on acute necrosis pancreatitis of color doppler ultrasound was significantly lower than CT(P <0.05),total relevance ratio on AP of CT was significantly higher than color doppler ultrasound(P <0.05).There was no signifi-cantly difference in uneven pancreas,single fluid area around the pancreas,fuzzy layer of fat around the pancreas,pan-creatic abscess numbers between the two methods(P>0.05),but CT was higher than color doppler ultrasound in small focal area of fluid within the pancreas,pancreatic sheet high density(P <0.05),and color doppler ultrasound was higher than CT in limitations increases pancreatic,pancreatic duct dilatation,common bile duct stones(P <0.05 or P <0.01). Conclusion Color doppler ultrasound and CT have own advantages in the diagnosis of AP,Color doppler ultrasound should be promptly selected in AP patients with contraindications of enhanced CT.