彩超用于急性胰腺炎诊断中价值分析.docVIP

彩超用于急性胰腺炎诊断中价值分析 　　[摘要]目的 对彩超用于急性胰腺炎诊断中的价值进行分析和探讨。方法 选择2011年3月―2013年3月在该院进行治疗的急性胰腺炎患者50例，作为观察组，对其临床资料进行回顾性分析，均行彩超检查和CT检查，比较两种检查对急性胰腺炎的检出率。并选择同期在该院进行健康体检的腹痛者50例作为对照组，均无胰腺炎。结果 观察组患者采用彩超诊出率为96.0%，CT诊出率为94.0%，两种检查相比差异无统计学意义（c2=0.624，P0.05）；观察组有31例为胆源性胰腺炎，彩超诊出率为96.8%，CT诊出率为67.7%，两种检查相比彩超明显高于CT（P0.05）；对照组IPA血流最大速度为（0.58±0.36）m/s，观察组为（0.19±0.33）m/s，观察组明显低于对照组（P0.05）。结论 彩超应用于急性胰腺炎的诊断中，具有诊断率高、无创、安全、费用低、重复性强等优点，在临床上具有较高的应用和推广价值。 　　[关键词]彩超；急性胰腺炎；诊断 　　[中图分类号]R576 [文献标识码]A [文章编号]1674-0742（2015）03（c）-0185-02 　　[Abstract]Objective To analysis and discussion for the value of color Doppler ultrasound in the diagnosis of acute pancreatitis.Method 50 cases of patients with acute pancreatitis in our hospital from March 2011 to March2013 were selected as the observation group，the clinical data were retrospectively analyzed，used color Doppler ultrasound and CT examinations.And in the same term50 cases of health examination patients with abdominal pain and no pancreatitis in our hospital as a control group.Result The observation group Color Doppler ultrasound diagnosis rate was 96%， CT detection rate was 94%，the differences between the two checked way were no significantly， （allP0.05）；The observation group 31 cases for the biliary pancreatitis， color Doppler ultrasound diagnosis rate was 96.8%， CT detection rate was 67.7%，compared with the two examination， color Doppler ultrasound was significantly higher than that of CT （P0.05）；The control group IPA peak blood flow velocity is（0.58 + 0.36） m/s， the observation group （0.19 + 0.33） m/s， the observation group was significantly lower than that of control group（P0.05）.Conclusion Color Doppler ultrasound applied to the diagnosis of acute pancreatitis，has the advantages of high diagnostic rate， noninvasive， safe， low cost， strong repeatability etc，with higher value in clinical application and popularization. 　　[Key words]Color Doppler ultrasound； Acute pancreatitis； Diagnosis 　　急性胰腺炎在临床上比较常见，具有发病急的特点，发病症状主要表现为恶心呕吐、上腹剧痛以及发热等，在临床上采用血尿淀粉酶化验