Rickes Steffen, Mönkemüller Klaus, Malfertheiner Peter
Department of Gastroenterology, Hepatology and Infectious Diseases Otto-von-Guericke-University, Leipziger Str. 44, 39120, Magdeburg, Germany.
Abdom Imaging. 2007 May-Jun;32(3):362-4. doi: 10.1007/s00261-007-9250-0.
Early assessment and differentiation of oedematous acute pancreatitis and necrotizing or severe acute pancreatitis allow distinct therapeutic algorithms. Spiral computed tomography is currently considered the gold standard for staging of acute severe pancreatitis. Conventional transabdominal ultrasound plays only a limited role in the staging of acute pancreatitis. The problem is that with this procedure a detection of pancreatic necrosis is difficult because it cannot assess organ perfusion. Through the use of contrast-enhancers, however, even ultrasound can nowadays examine the vascularization behaviour of the pancreas and liver parenchyma in sufficient detail. The aim of the present update article is to explain the usefulness of contrast-enhanced ultrasound in the detection of parenchymal necrosis in patients with acute severe pancreatitis.
对水肿性急性胰腺炎与坏死性或重症急性胰腺炎进行早期评估和鉴别，有助于采用不同的治疗方案。螺旋计算机断层扫描目前被认为是急性重症胰腺炎分期的金标准。传统经腹超声在急性胰腺炎分期中的作用有限。问题在于，通过这种检查方法很难检测到胰腺坏死，因为它无法评估器官灌注情况。然而，如今通过使用造影剂，超声甚至也能足够详细地检查胰腺和肝实质的血管化情况。本文的目的是阐述超声造影在检测急性重症胰腺炎患者实质坏死方面的作用。
