腹部CT用于诊断胰腺炎患者病情严重程度的价值  

Value of abdominal CT in diagnosing the severity of pancreatitis

作　　者：鲁开文[1] 亓小虎[1] 冉国民 LU Kaiwen;QI Xiaohu;RAN Guomin(Yichang Central People's Hospital,Yichang 443003,Hubei,China;Yichang First People's Hospital,Yichang 443000,Hubei,China)

机构地区：[1]宜昌市中心人民医院,湖北宜昌443003 [2]宜昌市第一人民医院,湖北宜昌443000

出　　处：《武汉大学学报（医学版）》2021年第3期494-497,共4页Medical Journal of Wuhan University

基　　金：湖北省自然科学基金资助项目(编号:2016CKB315)。

摘　　要：目的:探讨腹部CT在胰腺炎严重程度诊断中的价值。方法:选取2016年1月至2018年4月在我院治疗的急性胰腺炎患者92例,其中轻症患者38例,中重症患者34例,重症患者20例,均行腹部CT扫描。结果:轻症、中重症和重症患者性别、年龄及病因比较差异无统计学意义(P>0.05);重症患者Balthazar CT、EPCI及APACHEⅡ评分分别为(3.15±0.41)分、(5.71±0.66)分和(39.29±8.22)分,明显高于轻症和中重症,差异比较有统计学意义(P<0.05);中重症Balthazar CT、EPCI及APACHEⅡ评分分别为(2.33±0.30)分、(4.36±0.81)分和(29.02±7.15)分,均明显高于轻症(P<0.05);Balthazar CT、EPCI评分与APACHEⅡ评分呈正相关(r=0.510和0.589,P<0.05)。结论:腹部CT用于诊断胰腺炎患者病情严重程度有较好的应用价值。Objective: To investigate the value of abdominal CT in diagnosing the severity of pancreatitis.Methods: From January 2016 to April 2018, 92 patients with acute pancreatitis treated in our hospital were retrospectively studied, among them, 38 cases were mild, 34 cases were moderately severe,and 20 cases were severe. All cases were received abdominal CT scan.Results: There were no significant difference in gender, age, and causes of acute pancreatitis among different severity groups(P>0. 05);The Balthazar CT, EPCI, and APACEⅡ scores in severe group were(3. 15±0. 41),(5. 71±0. 66), and(39. 29±8. 22), respectively, and were significantly higher than those respectively in mild and moderately severe cases(all P<0. 05);The Balthazar CT, EPCI, and APACEⅡ scores in moderately severe group were(2. 33±0. 30),(4. 36±0. 81) and(29. 02±7. 15), respectively, and were significantly higher than those in mild cases(all P<0. 05);The Balthazar CT and EPCI scores were positively correlated with APACHE Ⅱ scores(r=0. 510 and 0. 589,P<0. 05).Conclusion: Abdominal CT application is valuable in the diagnosis of the severity of acute pancreatitis.

关 键 词：腹部CT 胰腺炎 病情程度 应用价值 

分 类 号：R576[医药卫生—消化系统] R657.5[医药卫生—内科学]