中度急性胰腺炎改良CT严重指数与临床情况的相关性分析.pdfVIP

论著·临床辅助检查 CHINESEC0MMUNITYD0CT0RS 中度急性胰腺炎改良CT严重指数与临床情况的相关性分析 刘培曦 646000四川省泸州医学院 doi:10.3969/j.issn.1007-614x.2014.11.68 摘 要 目的：通过CT检查改良CT严重指数对急性胰腺炎(AP)的诊断价值，探讨中度急性胰腺炎的改良CT严重指 数(MCTSI)与临床病情的相关性，为临床制定合理治疗方案及判断预后起指导性作用。方法：收治MSAP患者198 例，男146例，女52例，年龄32～76岁，平均(49±13)岁。行胰腺增强CT检查，收集影像学资料及临床资料，观察 MCTSI分值与并发症构成比，与临床Rason、PACHEⅡ、BISAP评分的相关性。结果：出现一种或多种程度不同的 严重并发症的病例中，MCTSI表现集中出现在4～10分中；MCTSI分别与Rason、APACHEⅡ、BISAP评分成正相关 (P＜0.05)。结论：通过增强CT检查MCTSI对中度急性胰腺炎的诊断有肯定价值；MCTSI评分与临床病情存在相关 性，对中度急性胰腺炎的病情评估及预后判断存在重要价值。 关键词 中度急性胰腺炎 改良CT严重指数 Rason评分 APACHEⅡ评分 BISAP评分 CorrelationanalysisofmodifiedCTseverityindexandclinicalconditionsofmoderateacutepancreatitis LiuPeixi LuzhouMedicalCollege,Sichuan646000 Abstract Objective:ThroughtheexaminationofCTtoinvestigatethediagnosticvalueofmodifiedCTseverityindexonacute pancreatitis(AP),toexplorethecorrelationofmodifiedCTseverityindexandclinicalconditionsofmoderateacutepancreatitis,so astoplayaguidingroleformakingareasonabletreatmentandprognosticjudgement.Methods:198patientswithMSAPwere selected,includingmaleof146casesandfemaleof52cases.Agewas32～76yearsold,meanagewas49±13yearsold.All patientsunderwentpancreaticenhancementCTexaminationtocollecttheimagingandclinicaldata.Weobservedtheconstituent ratioofMCTSIscoreandcomplications,andthecorrelationwithclinicalRason,PACHEⅡandBISAPscore.Results:Inthecases withoneormoredifferentseverecomplications,MCTSIexpressionappearedin4～10obviously;MCTSIwaspositivelycorrelated withRason,APACHEⅡandBISAPscorerespectively(P＜0.05).Conclusion:EnhancedCTexaminationofMCTSIinthediagnosis ofmoderateacutepancreatitishasdefinitevalue;thereiscorrelationbetweenMCTSIscoreandclinicaldisease.Ithasimportant valueforevaluationofseverityandprognosisofthemoderateacutepancreatitis. Keywords Mildacutepancreatitis;ThemodifiedCTseverityindex;Ras