目的：探讨多层螺旋CT(MDCT)增强扫描对急性胰腺炎局部并发症和预后的预测价值。方法回顾性分析66例急性胰腺炎患者，应用MDCT增强扫描分析胰腺坏死的部位、范围、胰周坏死与局部并发症和预后之间的关系。结果(1)胰腺坏死的部位、范围及胰周坏死能预测急性胰腺炎的感染性胰腺坏死；（2）胰腺坏死的范围与胰腺假性囊肿的形成有关；(3)胰腺坏死的部位、胰周坏死与急性胰腺炎高死亡率相关。结论 MDCT增强扫描对急性胰腺炎局部并发症发生和预后有重要的预测价值。%Objective To evaluate enhancement MDCT predict the development of local complications and prognosis in patients with Acute pancreatitis.Methods We analyze the relationship of 66 cases between the anatomic pattern of Acute pancreatitis and the development of local complications.Results (1) The location and extent of pancreatic necrosis,location of peripancreatic necrosis were useful to predict the development of infected pancreatic necrosis and high case fatality; (2) The extent of pancreatic necrosis were associated with pseudocyst development; (3)The location of pancreatic necrosis and peripancreatic necrosis may can predict the high case fatality.Conclusion Enhancement MDCT can predict the development of local complications and prognosis in patients with severe pancreatic necrosis.
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