Pietri H, Gauthier A, Trop J A
Acta Gastroenterol Latinoam. 1985;15(2):81-8.
We were evaluated the sensibility in acute pancreatitis with ultrasound method (US). Thus, we were studied 48 cases with clinical and biological table of acute pancreatitis. In all these cases, we had surgical confirmation. US exploration were made before and/or after surgical treatment. US was made once in 27 patients, twice in 14, and more times in 7. Accurate diagnosis we made in the 75% of the cases; 8.3% were false negatives; 16,6% were unexplored ultrasonically. The increase of the pancreatic volume, was the most tiically characteristic ultrasound finding. In agreement with others authors, we had 35.41% of the cases with cysts and abscess formation between the complicated acute pancreatitis, (20.84% were confirmed surgically). Hence, we conclude that US is an high sensitive and specific method to employ when clinical acute pancreatitis is pose.
我们用超声方法(US)评估急性胰腺炎的敏感性。因此,我们研究了48例具有急性胰腺炎临床和生物学表现的病例。所有这些病例均经手术证实。在手术治疗之前和/或之后进行超声检查。27例患者进行了一次超声检查,14例进行了两次,7例进行了多次。我们在75%的病例中做出了准确诊断;8.3%为假阴性;16.6%未进行超声检查。胰腺体积增大是最具特征性的超声表现。与其他作者一致,在复杂性急性胰腺炎中,我们有35.41%的病例出现囊肿和脓肿形成(20.84%经手术证实)。因此,我们得出结论,当出现临床急性胰腺炎时,超声是一种高度敏感和特异的检查方法。