腹部CT扫描预测急性胰腺炎并发症的价值  

The Value of Abdominal CT Scan in Predicting Complications of Acute Pancreatitis

作　　者：郭奕龙 张文华[1] 刘世忠[1] 方庆和 

机构地区：[1]广东省汕头市第二人民医院放射科,广东汕头515041

出　　处：《河北医学》2013年第7期1015-1018,共4页Hebei Medicine

摘　　要：目的:探讨腹部CT扫描预测急性胰腺炎(AP)并发症、病死率的价值。方法:回顾性分析2008年8月至2012年9月收治的306例AP患者的临床病史及CT表现。本组患者男性201例,女性105例,年龄19-92岁,平均50.15±0.65岁。在CT影像学资料上观察AP时有无脂肪肝、胸腔积液、肝上间隙积液、胆道疾病以及胃裸区、肾上腺及肾周间隙受累,并分析这些CT表现与AP并发症及病死率的关系。结果:①肥胖、中度及重度脂肪肝、胸腔积液、肾周间隙受浸、肾上腺受浸、胃裸区受浸、肝上间隙积液是预测AP并发症的危险因素。②肥胖、肾上腺受浸、胃裸区受浸、肝上间隙积液是预测AP死亡的危险因素。结论:腹部CT扫描可以有效显示AP患者组织、器官受累的情况,受累情况与AP的严重程度和预后有关,可以作为临床评价AP预后的指标。Objective： To investigate the value of abdominal CT scan in predicting complications and mortality of acute pancreatitis （ AP ） patients. Method： CT imaging data of 306 patients with AP diagnosed from August 2008 to September 2012 were analyzed retrospectively. There were 201 male and 105 female pa- tients, aging from 19 to 92 years, with a mean of （50.15±0.65 ） years. With or without fatty liver ,pleural effusion, suprahepatic space effusion , biliary tract disease, gastric bare area involvement （GBAI ） , adrenal gland involvement （AGI） and perirenal space involvement（PSI） were focused, and the relationship were an- alyzed between these CT findings and complications and mortality of patients. Results： （1）Moderate and se- vere fatty liver, pleural effusion, PSI, AGI, GBAI and suprahepatic space effusion were independent risk factors in predicting complications of AP. （2）AGI, GBAI and suprahepatic space effusion were independent risk factors in predicting mortality of AP. Conclusion： The abdominal CT scan could effectively indicate the signs of tissue and organ involvement of AP. These CT findings are related with the severity and prognosis of AP, and these findings could be clinical indicators for evaluating prognosis of AP.

关 键 词：胰腺炎 体层摄影术 X线计算机 

分 类 号：R576[医药卫生—消化系统]