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华西医学 2015

胰腺炎脾血管并发症的解剖与诊断进展

DOI: 10.7507/1002-0179.20150616, PP. 2171-2174

蔡迪明,宋彬

Keywords: 胰腺炎脾脏并发症,胰腺炎脾动脉并发症,胰腺炎脾静脉并发症,超声,增强CT

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Abstract:

胰腺炎脾血管并发症是较为常见的胰腺炎血管并发症，其发生率虽不高，却是胰腺炎病情重危程度、预后不良的征象之一，如脾动脉假性动脉瘤破裂可危及患者的生命。因此对于胰腺炎脾血管并发症的准确诊断就显得特别重要。超声作为急性胰腺炎检查中最常用的手段，由于易受胃肠道麻痹致腹内胀气、腹膜后血管彩色血流衰减、检查者经验和手法等原因的影响，导致超声对于胰腺炎脾血管并发症的诊断准确率较低。现通过文献复习，对该病的发生、发展以及诊断的进展进行综述，以提高超声医师对该疾病的认识，提高诊断的准确性。

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