The Value of Multi-slice Spiral CT Combined with Biochemical Index in the Diagnosis of Acute Pancreatitis

doi:10.7517/issn.1674-0475.191206

Abstract

Abstract: To investigate the value of multi-slice spiral CT (MSCT) combined with serum amylase (SAMY), urine amylase (UAMY) and lipase (LPS) in the diagnosis of acute pancreatitis. 80 patients with acute pancreatitis were selected as the observation group, and 80 healthy persons in the same period were selected as the control group, in this study. All patients were given MSCT plain scan and dynamic enhanced scan, and the levels of SAMY, UAMY and LPS were detected. To observe the MSCT imaging of acute pancreatitis. To compare the levels of SAMY, UAMY and LPS in the two groups. To compare the sensitivity and specificity of different examination methods in the diagnosis of acute pancreatitis. The results showed that the MSCT imaging features of acute pancreatitis are characteristic, in which the dynamic enhanced scan of acute edematous pancreatitis shows homogeneous enhancement, and the dynamic enhanced scan of acute necrotic pancreatitis shows uneven enhancement. The levels of SAMY, UAMY and LPS in the observation group were significantly higher than those in the control group (P<0.05). The sensitivity and specificity of MSCT combined with SAMY, UAMY and LPS in the diagnosis of acute pancreatitis were significantly higher than those of single and multiple combined examinations (P<0.05). Therefore, MSCT is helpful for the early qualitative diagnosis of acute pancreatitis, and combined with biochemical index can improve the sensitivity and specificity in the diagnosis of acute pancreatitis, which has important clinical application value.

Key words: acute pancreatitis, MSCT examination, serum amylase, urine amylase, lipase

HUANG Jingyu, LIU Hongshu. The Value of Multi-slice Spiral CT Combined with Biochemical Index in the Diagnosis of Acute Pancreatitis[J]. Imaging Science and Photochemistry, 2020, 38(4): 637-641.

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