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目的探讨胰腺急性损伤及其在随访复查中的MSCT表现。资料与方法回顾性分析13例胰腺急性损伤后的临床资料和33次MSCT检查资料。结果13例中,首次MSCT检查发现10例胰腺部分断裂,分别为胰体部6例,胰颈部4例,其中2例并血肿形成;1例为胰体部完全断裂。另2例胰腺呈挫伤表现,其中1例于胰头内出现囊肿。随访复查中,8例出现假性囊肿,均位于胰腺实质外,出现囊肿时间为5～38天,平均18天。继续随访复查中,1例患儿经保守治疗15天后,囊肿完全吸收;另1例采用外引流治疗41天后囊肿完全吸收;其余囊肿均缩小。结论MSCT能及时发现胰腺急性损伤并判断损伤程度,通过CT随访复查还能进一步观察胰腺损伤的演变过程,有利于指导临床治疗方案的选择和预后的判断。
Objective To investigate the acute pancreatic injury and its follow-up of MSCT. Materials and Methods Retrospective analysis of 13 cases of acute pancreatic injury after the clinical data and 33 MSCT examination data. Results Of the 13 cases, the first MSCT revealed 10 cases of partial pancreas rupture, including 6 cases of pancreas and 4 cases of pancreas and neck, 2 cases of which formed hematoma and 1 case of complete rupture of pancreas. The other two cases of pancreatic showed contusion, including 1 case of cyst in the head of the pancreas. Follow-up review, 8 cases of pseudocyst, are located outside the parenchyma, cysts appear for 5 to 38 days, an average of 18 days. Continue follow-up review, 1 case of children after conservative treatment of 15 days, completely absorbed cysts; the other 1 case of external drainage treatment of 41 days after the cyst completely absorbed; the remaining cysts were reduced. Conclusion MSCT can detect acute pancreatic injury in time and determine the degree of injury. The follow-up CT scan can further observe the evolution of pancreatic injury, which is helpful to guide the choice of clinical treatment and prognosis.