CT平扫对急性胰腺炎及并发症诊断和预测预后的价值  

The diagnostic and prognostic value of CT scans in patients with acute pancreatitis complications

作　　者：韩炜[1] 闫军[1] 王剑[1] 文铁[1] 白利杰[1] 黄晓旗 王霞[1] 姬星[1] 

机构地区：[1]延安大学附属医院影像诊断科,陕西延安716000

出　　处：《实用放射学杂志》2017年第8期1205-1208,共4页Journal of Practical Radiology

摘　　要：目的 分析腹部CT扫描在急性胰腺炎并发症诊断及预测预后中的价值.方法 选取急性胰腺炎患者151例,分析腹部CT中常见表现与患者并发症和死亡的关系.对比不同Balthazar CT 严重指数 （CTSI）分级患者的预后情况.结果 CT中具有脂肪肝、胸腔积液、肝上间隙积液、肾上腺受侵（AGI）、肾周间隙受侵（PSI）和胃裸区受侵（GBAI）的患者,其并发症发生率显著高于上述CT征象阴性患者（P〈0.05）.随着CTSI分级加重,患者的禁食时间、发热时间、住院时间、血淀粉酶恢复时间逐渐延长,假性囊肿、中转手术、器官衰竭发生率和死亡率逐渐上升（P〈0.05）.结论 重度脂肪肝、AGI、GBAI、PSI和肝上间隙积液为急性胰腺炎患者并发症和死亡的危险因素.Objective To analyze the diagnosis and prognosis value of abdominal CT scans in patients with acute pancreatitis complications.Methods 151 cases with acute pancreatitis were selected.The relationship between abdominal CT performances and the common complications and death in patients was analyzed.The prognosis of patients with different Balthazar CT severity index （CTSI） grade was compared.Results The complication rate of patients with CT signs of fatty liver, pleural effusion, liver gap effusion, adrenal gland involvement （AGI）, penirenal space involvement （PSI） and gastric bare area involvement （GBAI） was significantly higher than that of patients with negative CT findings above （P〈0.05）.With CTSI grading increasing, the patient＇＇s fasting time, heating time, hospital stay, recovery time of blood amylase were extended, and the incidence of pseudo cyst, transit surgery, organ failure and death was gradually increasing （P〈0.05）.Conclusion Severe fatty liver, AGI, GBAI, PSI and liver gap effusion are risk factors for acute complications and death in patients with pancreatitis.

关 键 词：急性胰腺炎 并发症 计算机体层成像 

分 类 号：R576[医药卫生—消化系统] R814.42[医药卫生—内科学]