基于Lemmel综合征胰腺炎Balthazar分级影像诊断  

Balthazar CT classification imaging features of Lemmel syndrome pancreatitis

作　　者：欧幼宽[1] 林初昕 杨奕谆 杨元锰 OU Youkuan;LIN Chuxin;YANG Yizhun;YANG Yuanmeng(Department of Imaging,Jinjiang Municipal Hospital(Fujian Hospital of Shanghai Sixth People's Hospital),Fujian Province,Jinjiang362200,China)

机构地区：[1]福建省晋江市医院(上海市第六人民医院福建医院)影像科,福建晋江362200

出　　处：《中国当代医药》2025年第5期117-121,共5页China Modern Medicine

摘　　要：目的探讨Lemmel综合征胰腺炎的Balthazar CT分级影像血特征。方法回顾性分析2011年2月至2023年12月晋江市医院收治的89例Lemmel综合征导致急性胰腺炎患者的临床资料,观察十二指肠乳头旁憩室大小、分型、内容物与Balthazar CT分级情况。结果89例患者小型憩室31例,中型50例,大型8例;憩室与十二指肠乳头的关系包绕型23例,边缘型21例,周围型45例;憩室单纯含气43例,含食物、气液46例。Balthazar CT分级低危组9例,高危组80例,其中A级1例,B级8例,C级31例,D级31例,E级18例。不同Balthazar CT分级的憩室大小比较,差异有统计学意义(P<0.05);不同Balthazar CT分级的憩室分型、内容物比较,差异无统计学意义(P>0.05)。结论Balthazar CT分级反映急性胰腺炎严重程度,憩室提高了高危组的发病风险,多层螺旋CT可清晰显示憩室及胆总管下段情况,对临床治疗Lemmel综合征导致胰腺炎至关重要。Objective To investigate the blood features of Balthazar CT classification imaging in Lemmel syndrome pancreatitis.Methods The clinical data of 89 patients with acute pancreatitis caused by Lemmel syndrome admitted to Jinjiang Municipal Hospital from February 2011 to December 2023 were retrospectively analyzed,and the size,type,contents and Balthazar CT classification of juxtapapillary duodenal diverticulum were observed.Results Among the 89 patients,31 cases were small diverticulum,50 cases were medium diverticulum,and 8 cases were large diverticulum.The relationship between diverticulum and duodenal papilla was observed in 23 cases,marginal type in 21 cases and peripheral type in 45 cases.Diverticulum contained only gas in 43 cases and food,gas and liquid in 46 cases.There were 9 cases in Balthazar CT classification low-risk group and 80 cases in high-risk group,including 1 case in grade A,8 cases in grade B,31 cases in grade C,31 cases in grade D and 18 cases in grade E.There were significant differences in the difference of diverticulum size in different Balthazar CT grades was statistically significant(P<0.05).There were no significant differences in the types and contents of diverticulum with different Balthazar CT grades(P>0.05).Conclusion The CT classification of Balthazar reflects the severity of acute pancreatitis,diverticulum increases the risk of the high-risk group,and multi-slice spiral CT can clearly display the condition of diverticulum and the lower common bile duct,which is very important for the clinical treatment of pancreatitis caused by Lemmel syndrome.

关 键 词：LEMMEL综合征 十二指肠乳头旁憩室 急性胰腺炎 Balthazar CT分级 碘帕醇 

分 类 号：R814.42[医药卫生—影像医学与核医学]