影像科学与光化学 ›› 2019, Vol. 37 ›› Issue (6): 618-623.DOI: 10.7517/issn.1674-0475.190703

• 综述与论文 • 上一篇    下一篇

腹部CT对急性胰腺炎病况及预后的诊断价值

于春梅, 李春海, 杨茂生   

  1. 北京中医医院 顺义医院 放射科, 北京 101300
  • 收稿日期:2019-07-01 出版日期:2019-11-15 发布日期:2019-11-15
  • 通讯作者: 李春海

Diagnostic Value of Abdominal CT in the Evaluation of Severity and Prognosis of Acute Pancreatitis

YU Chunmei, LI Chunhai, YANG Maosheng   

  1. Department of Radiology, Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital, Beijing 101300, P. R. China
  • Received:2019-07-01 Online:2019-11-15 Published:2019-11-15

摘要: 本研究通过对89例水肿型急性胰腺炎患者及31例出血坏死型急性胰腺炎患者采用64排螺旋CT进行腹部扫描检查,根据结果进行病情严重程度及预后状况的评估。根据Balthazar CT分级标准共检测出A级0例、B级42例、C级38例、D级23例、E级17例;随着CT分级的升高,急性胰腺炎患者的胰腺血流量(BF)、胰腺血容量(BV)逐渐降低,差异具有显著性(P<0.05),但各分级之间胰腺血流量(BF)、血容量(BV)无明显差异(P>0.05);在对急性胰腺炎患者预后判断方面,CT分级越低表明保守治疗即可痊愈,如分级呈现升高趋势则表示需同手术治疗。本研究中35例患者经手术治疗,但是在D、E级患者中有3例患者因病情严重,累及多器官功能衰竭死亡。结果证实腹部CT扫描能够准确反映急性胰腺炎患者病情严重程度,对临床治疗、预后评估具有重要的参考价值。

关键词: 腹部CT, 急性胰腺炎, 预后

Abstract: In this study, 89 patients with edematous acute pancreatitis and 31 patients with hemorrhagic necrotizing acute pancreatitis were examined by 64-slice spiral CT. According to Balthazar CT classification standard, a total of 0 cases of grade A, 42 cases of grade B, 38 cases of grade C, 23 cases of grade D and 17 cases of grade E were detected. There was no significant difference between MTT and PS grades (P>0.05). In the prognosis of patients with acute pancreatitis, the lower the CT grade was, the better the conservative treatment effect was. And the higher the grade was, the more surgical treatment was needed. 35 patients in this study underwent surgical treatment, but the lower the CT grade, the better the prognosis of patients with acute pancreatitis. In grades D and E, 3 patients died of multiple organ failure due to severe illness. In conclusion, abdominal CT scan can accurately reflect the severity of acute pancreatitis, which has important reference value for clinical treatment and prognosis evaluation.

Key words: abdominal CT, acute pancreatitis, prognosis