Neumann T, Schulz H G
Röntgendiagnostischen Abteilung, Karl-Marx-Universität Leipzig.
Z Gesamte Inn Med. 1988 Feb 15;43(4):77-80.
While the diagnosis of the acute pancreatitis is now as ever made clinically, the significance of ultrasound and computed tomography (CT) lies above all in the demonstration of morphologic changes and their extent. When the statements of the ultrasonic diagnosis are sufficient in easy stages of the acute pancreatitis and for the recognition of a more severe stage as well as for the control of the course, an evident assessment of the haemorrhagic necrotizing pancreatitis, in particular before operation, is possible only with the help of the CT. Only with its help we succeed in a comprehensive demonstration of the necroses, formations of abscesses, haemorrhages as well as of the ways of necrosis. The better availability and the riskless possibility of carrying out the ultrasonic diagnosis with altogether high evidence allow a narrow-meshed control of the course of the acute pancreatitis.
虽然急性胰腺炎的诊断如今仍和以往一样依靠临床诊断,但超声和计算机断层扫描(CT)的重要性首先在于显示形态学变化及其程度。当超声诊断结果足以用于急性胰腺炎早期阶段、识别更严重阶段以及监测病程时,只有借助CT才能对出血性坏死性胰腺炎进行明确评估,尤其是在手术前。只有借助CT,我们才能全面显示坏死、脓肿形成、出血以及坏死路径。超声诊断具有更好的可及性,且在证据充分的情况下实施超声诊断毫无风险,这使得对急性胰腺炎病程能够进行细致的监测。