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

doi:10.7517/issn.1674-0475.190703

Abstract

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

YU Chunmei, LI Chunhai, YANG Maosheng. Diagnostic Value of Abdominal CT in the Evaluation of Severity and Prognosis of Acute Pancreatitis[J]. Imaging Science and Photochemistry, 2019, 37(6): 618-623.

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