CAJ | 학술논문

目的：对比分析急性胰腺炎合并肝脏损伤的CT、超声表现，明确肝损伤的病因。方法选用临床确诊的急性胰腺炎患者28例，筛选其中21例CT表现为肝脏密度减低者作为研究对象，然后进行治疗前后CT、超声对比综合观察分析。选用GE128层宝石能谱CT，重建层厚为0．625 mm，全部病例同时进行能谱扫描并重建能谱曲线，16例患者治疗前行增强扫描。结果21例患者肝脏密度减低者，能谱曲线均与脂肪曲线相似；21例患者同时行超声检查，均符合脂肪肝回声增强表现，吻合率100％。治疗后复查CT 5例肝脏密度不同程度回升但未完全恢复正常，11例患者完全恢复正常，5例患者无明显改变，超声显示14例患者同步回声减弱或恢复正常，7例患者未见明显变化。结论 CT能谱曲线结合超声检查诊断急性胰腺炎合并肝脏损伤的病因为脂肪浸润所致急性脂肪肝。
목적：대비분석급성이선염합병간장손상적CT、초성표현，명학간손상적병인。방법선용림상학진적급성이선염환자28례，사선기중21례CT표현위간장밀도감저자작위연구대상，연후진행치료전후CT、초성대비종합관찰분석。선용GE128층보석능보CT，중건층후위0．625 mm，전부병례동시진행능보소묘병중건능보곡선，16례환자치료전행증강소묘。결과21례환자간장밀도감저자，능보곡선균여지방곡선상사；21례환자동시행초성검사，균부합지방간회성증강표현，문합솔100％。치료후복사CT 5례간장밀도불동정도회승단미완전회복정상，11례환자완전회복정상，5례환자무명현개변，초성현시14례환자동보회성감약혹회복정상，7례환자미견명현변화。결론 CT능보곡선결합초성검사진단급성이선염합병간장손상적병인위지방침윤소치급성지방간。
Objective To compare and analyze CT and ultrasonic manifestation of acute pancreatitis combined with liver injury .Methods Twenty-eight patients who suffered from acute pancreatitis by clear clinical diagnosis were col-lected.In these 28 patients, 21 patients with low density of liver were selected as the research objects .CT spectrum scanning and ultrasonic examination were carried out in all 21 patients before and after clinical treatment .Sixteen pa-tients carried out enhanced CT examination .Results Low density of liver had been found in 21 patients and spectrum energy curve of liver was similar to the curve of fat .Ultrasonic examination showed that all these 21 patients had hepatic adipose infiltration .CT spectrum scanning and ultrasonic examination were carried out after clinical treatment and the CT results revealed 5 patients’ density of liver increased but no recovered completely , 11 patients’ density of liver re-covered completely, 5 patients’ density of liver had no significant change .Ultrasonic results showed that 14 patients’ ultrasonic manifestation of liver changed or recovered completely .7 patients ’ ultrasonic manifestation of liver had no sig-nificant change .Conclusion Spectrum energy curve of CT combined with ultrasonic examinations reveal the pathogeny of acute pancreatitis combined with liver injury is acute hepatic adipose infiltration .