坏死性胰腺炎的动态演变:“透壁性胰腺坏死—胰管中断—包裹性坏死”三部曲  

Dynamic changes of necrotizing pancreatitis:"Transmural pancreatic necrosis-Pancreatic duct disruption-Walled-off necrosis" trilogy

作　　者：肖波[1,2] XIAO Bo(Department of Radiology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China;Medical Imaging College,North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院附属医院放射科,南充637000 [2]川北医学院医学影像学院,南充637000

出　　处：《磁共振成像》2021年第12期96-98,共3页Chinese Journal of Magnetic Resonance Imaging

基　　金：医学影像四川省重点实验室课题(编号:MIKLSP202008);南充市市校合作科研专项资金(编号:19SXHZ0282)。

摘　　要：坏死性胰腺炎是急性胰腺炎(acute pancreatitis,AP)中的危重病理类型。起初,胰腺坏死是实性或半实性的,随着病程的迁延,坏死灶软化形成液化性坏死。经典文献中将AP严重指数CT评分或MRI评分作为预测本病预后的一种影像学指标。事实上,胰腺坏死的深度同坏死面积一样具有十分重要的临床意义。CT/MRI可以示踪坏死性胰腺炎的动态演变,笔者在本文着重阐述影像学在AP动态随访中的价值,并提出一个新的概念以飨读者,即"透壁性胰腺坏死—胰管中断—包裹性坏死"三部曲。Necrotizing pancreatitis is a critically pathological type of acute pancreatitis(AP).Initially,the pancreatic necrosis is solid or semi-solid state.And then,the necrotic lesion would gradually become soften,thereafter followed by liquefied necrosis.Classically,the CT severity index or MRI severity index can be usually regarded as a favorite imaging marker for predicting the prognosis of AP.In fact,like the clinical significance of necrotic areas,the depth of pancreatic necrosis also influences the outcome of patients.Indeed,dynamic processes of necrotizing pancreatitis can be tracked clearly on CT or MRI.This article mainly introduces the values of imaging on the AP dynamic followings.And a novel academic opinion is given as "Transmural pancreatic necrosis-Pancreatic duct disruption-Walled-off necrosis" trilogy.

关 键 词：急性胰腺炎 坏死性胰腺炎 包裹性坏死 胰腺坏死 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学] R576[医药卫生—诊断学]