Lohanikhina K Iu, Hordiienko K P, Kozarenko T M
Klin Khir. 2014 Oct(10):13-5.
With the objective to improve the diagnostic semiotics of an acute pancreatitis (AP) 35 patients were examined, using 64-cut computeric tomograph Lightspeed VCT (GE, USA) with intravenous augmentation in arterial and portal phases. Basing on analysis of the investigations conducted, using multidetector computeric tomography (MDCT), the AP semiotics was systematized, which is characteristic for oedematous and destructive forms, diagnosed in 19 (44.2%) and 16 (45.8%) patients, accordingly. The procedure for estimation of preservation of the organ functional capacity in pancreonecrosis pres- ence was elaborated, promoting rising of the method diagnostic efficacy by 5.3 - 9.4%.
为提高急性胰腺炎(AP)的诊断符号学水平,对35例患者进行了检查,使用美国通用电气公司的64排螺旋CT Lightspeed VCT进行动脉期和门静脉期静脉增强扫描。基于多排螺旋CT(MDCT)检查结果分析,对AP的符号学进行了系统化整理,其特征表现为水肿型和坏死型,分别在19例(44.2%)和16例(45.8%)患者中诊断出来。阐述了在胰腺坏死情况下评估器官功能保存的程序,使该方法的诊断效率提高了5.3 - 9.4%。