多层螺旋CT对急性胰腺炎临床应用.docVIP

多层螺旋CT对急性胰腺炎临床应用【摘要】目的：目的：探讨如何准确、合理运用多层螺旋CT扫描技术及重建技术对急性胰腺炎的诊断。方法：扫描前30 min 口服2 %泛影葡胺溶液300 mL ,扫描前再服同样浓度泛影葡胺溶液300 mL 。采用飞利浦brilliance 6层螺旋CT机,对患者检查部位行全容积扫描,扫描技术参数:患者体位(头先进) ;准直器宽度(6×0. 6 mm);旋转时间(0.75s/ r ) ;使用螺旋扫描;电压用120 KV ;有效mAs (80～250mAs) ;重建间隔(1 mm) ;螺距(1.2) ;重建层厚(1 mm) 。先行常规扫描,然后行增强扫描,再用三维重建(3D)MPR 进行后处理。结果：急性胰腺炎时表现胰腺弥漫性增大,密度低,轮廓不清,边缘模糊,周围渗出积液等改变。结论：多层螺旋CT对急性胰腺炎及并发症显示细微、准确,有较特征性表现,对其诊断价值较大。 【关键词】医学影像学;急性胰腺炎;CT 诊断 【中图分类号】R657.5+1【文献标识码】A【文章编号】1007-8517(2009)10-0140-01 Clinical application of the multislice spiral CT on acute pancreatitis SHI Yongjiu,MO Huamei,QU Zhen,HUANG Rujun （Radiology department,Baoan Chinese Hospital.Shenzhen,518133,China） 【Abstract】Objective :Approach how to diagnose acute pancreatitis by scanning and reconstruction technique of multislice spiral CT exactly and reasonably.Method：Take 2% Cardiografin Liq.for 300ml 30min before scanning,and the same dose just minites before scaning.Take a volume scanning to the patients’check point by the PILLIPS brilliance 6 layers spiral CT.Scan technical parameters:body position(head first); collimating apparatus width(6 0.6mm);spintime(0.75s/r),helical scanning; voltage(120KV);effective mAs（80~250mAs）；reconstruction interval(1mm);pitch(1.2); reconstruction increment(1mm).Take a convention scanning first,then a contrast enhancement,and last take the patient a three-dimensional reconstruction.ResultsThe pancreas was widespread enlarged with low density, unclear contour，clouding margin and exudativing effusion when pancreatitis happened.Conclusion：Multislice spiral CT has more diagnostic value by displaying the acute pancreatitis, its complication and the key points very slightly and exactly. 【Keywords】Medical Imaging；acute pancreatitis；CT Diagnosis 急性胰腺炎是一种常见的急腹症。按病理可分为水肿性和出血坏死性。急性水肿性胰腺炎病情轻,预后好;而急性出血坏死性胰腺炎则病情险恶,死亡率高。CT 检查目前已成为急性胰腺炎影像学检查的主要手段。随着多层CT的临床应用,CT检查对急性胰腺炎及并发症的诊断、治疗及预后起到重要作用。 1胰腺CT 检查方法 患者于检查前30min 口服2%泛影葡胺300mL ,扫描前再口服同样浓度造影剂300mL ,这样可使胃、十二指肠及空肠得以良好充盈,清楚地显示出胰腺的轮廓。此外