Panzironi G, Franceschini L, Angelini P, Ascarelli A, De Siena G
Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1997 Jan-Feb;18(1-2):47-50.
The aim of the present study is to establish the role of ultrasound examination (US) in the diagnosis of acute pancreatitis and its ability in differentiating mild or edematous acute pancreatitis (EAP) from severe or necrotizing acute pancreatitis (NAP) in order to indicate further diagnostic procedures and appropriate therapy. Forty patients with clinical suspect of acute pancreatitis were examined with US. All of them were followed-up clinically and with laboratory tests. Nineteen patients underwent a CT examination with contrast media and one without. In 28 cases US diagnosed acute pancreatitis in agreement with clinical and laboratory data. US identified 19 patients with EAP and 9 with NAP. CT, performed in 20 cases on the basis of clinical and US findings, confirmed US diagnosis in 19 cases while in 1 patient CT identified a NAP instead of the EAP suggested by US. According to our results, US is an easy-to-perform and accurate method for the diagnosis of acute pancreatitis and effective in differentiating EAP from NAP; it is also useful in suggesting further diagnostic procedures such as contrast-enhanced CT required in patients with NAP to assess the extension of peripancreatic fluid-collections and possible complications.
本研究的目的是确定超声检查（US）在急性胰腺炎诊断中的作用及其区分轻度或水肿性急性胰腺炎（EAP）与重度或坏死性急性胰腺炎（NAP）的能力，以便指导进一步的诊断程序和适当的治疗。对40例临床怀疑为急性胰腺炎的患者进行了超声检查。所有患者均接受了临床随访和实验室检查。19例患者接受了增强CT检查，1例未接受增强CT检查。在28例病例中，超声诊断的急性胰腺炎与临床和实验室数据一致。超声识别出19例EAP患者和9例NAP患者。根据临床和超声检查结果，对20例患者进行了CT检查，其中19例CT检查结果证实了超声诊断，1例患者CT检查显示为NAP，而非超声提示的EAP。根据我们的结果，超声是一种易于操作且准确的急性胰腺炎诊断方法，在区分EAP和NAP方面有效；它还有助于建议进一步的诊断程序，如对NAP患者进行增强CT检查，以评估胰腺周围液体积聚的范围和可能的并发症。
