肝脏CT值测定对急性坏死性胰腺炎的诊断价值  

Diagnostic value of liver CT for acute necrotizing pancreatitis

作　　者：刘珺[1] 刘煌辉[1] 童琼娟[1] 

机构地区：[1]中南大学湘雅三医院放射科,长沙410013

出　　处：《中南大学学报（医学版）》2010年第6期634-637,共4页Journal of Central South University ：Medical Science

摘　　要：目的:探讨肝脏CT值测定对急性坏死性胰腺炎(acute necrotizing pancreatitis,ANP)的诊断价值。方法:对130例ANP患者进行腹部螺旋CT扫描,然后对ANP进行CT分级,并同时测量肝脏CT值。结果:130例患者中,肝脏CT值减低者111例,其中Ⅰ级合并肝脏CT值减低者27例;Ⅱ级合并肝脏CT值减低者54例;Ⅲ级合并肝脏CT值减低者21例;Ⅳ级合并肝脏CT值减低者9例;肝脏CT值与ANP的CT分级呈低度负相关(r=-0.279,P=0.008)。结论:肝脏CT值对ANP有一定的诊断价值。Objective To determine diagnostic value of liver CT for acute necrotizing pancreatitis.Methods A total of 130 patients with the acute necrotizing pancreatitis underwent abdominal helical contrast CT scanning,whose pancreatitis was graded and the live CT values were measured.Results Altogether 111 patients had decreased liver CT value.Twenty-seven patients with decreased liver CT value were in Grade Ⅰ,54 in Grade Ⅱ,21 in Grade Ⅲ,and 9 in Grade Ⅳ.There was a negative correlation between CT grades of the liver and CT value of acute necrotizing pancreatitis （r=-0.279,P=0.008）.Conclusion The CT value of liver density has diagnostic value in acute necrotizing pancreatitis.

关 键 词：肝脏 CT 急性坏死性胰腺炎 诊断 

分 类 号：R576[医药卫生—消化系统]