不同炎症活跃程度急性胰腺炎的CT表现特征  

CT features of active and inactive acute pancreatitis

作　　者：余柠君 刘婷婷 刘超[1] 张小明[1] YU Ning-jun;LIU Ting-Ting;LIU Chao;ZHANG Xiao-ming(Medical Imaging Key Laboratory of Sichuan Province,Department of Radiology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院放射科,医学影像四川省重点实验室,四川南充637000

出　　处：《川北医学院学报》2023年第4期518-521,570,共5页Journal of North Sichuan Medical College

摘　　要：目的:探究活跃和非活跃急性胰腺炎(AP)增强CT影像表现的差异,以早期识别活跃AP。方法:回顾性收集234例AP患者的临床资料,选择文献报道的入院AP活跃程度评分(PASS)预测中重症/重症AP的截断值为140,将患者分为活跃和非活跃AP两组,比较两组间入院当天增强CT表现特征,采用多因素二元Logistic回归分析活跃AP的独立危险因子。结果:最终纳入234例AP患者,年龄(48±10)岁,66%为男性。活跃AP组、非活跃AP组分别包含69名、165名患者。两组间临床严重程度、住院时长、器官衰竭、BISAP、APACHEⅡ评分、AP分型、局部并发症、胸腔积液、腹膜后炎症、肠系膜炎症、CTSI、EPIC比较,差异均具有统计学意义(P<0.05),局部并发症尤其是急性坏死性积聚(OR=15.395)是活跃AP的独立危险因子。结论:活跃和非活跃AP间CT表现存在差异,合并局部并发症尤其是急性坏死性积聚需警惕活跃AP的风险。Objective:To investigate the differences between active and inactive acute pancreatitis(AP)on contrast-enhanced computed tomography in order to identify active AP early.Methods:The clinical data of 234 AP patients were retrospectively included.Patients were classified into active or inactive group by the value 140 of pancreatitis activity scoring system(PASS).The differences of the clinical data and the Contrast-enhanced computed tomography(CECT)images of the two groups were compared.Binary Logistic regression was used to analyze the independent risk factors of active AP.Results:The final cohort included 234 patients with AP,with a mean age of 48±10 years,66%male.The active AP group included 69 patients and the inactive AP group included 165 patients.There were significant differences in severity,length of stay,organ failure,BISAP and APACHE II scores,AP classification,local complications,pleural effusion,retroperitoneal inflammation,mesenteric inflammation,CTSI and EPIC scores between the two groups(P<0.05).Local complications,especially acute necrotizing collection(OR=15.395),were independent risk factors for active AP.Conclusion:There are differences in CT findings between active and inactive AP.Local complications,especially acute necrotic collection,are independent risk factors of active AP.

关 键 词：急性胰腺炎 对比增强计算机断层扫描 急性胰腺炎活跃程度评分 

分 类 号：R445.3[医药卫生—影像医学与核医学]