急性胰腺炎临床病程与影像学变化相关性研究进展.pdfVIP

452 2008 12 28 6 Int J Dig Dis, December 25, 2008, Vol. 28, No. 6 : 影像学检查是诊断急性胰腺炎较有价值的指标急性胰腺炎的病程发展与炎症因子的相关性研 , 与辅助检查的相关性研 , 如与血尿淀粉酶的相关性, 都存在一定的规律, 而急性胰腺炎的病理变化 影像表现与病程变化的相关性尚未有定论此文综述了影像学检查对急性胰腺炎病程变化的相关研 进展 : 急性胰腺炎; 病程; 影像学 Correlation of clinical course stages of acute pancreatitis with changing of imaging variation MEN Ying, LI Yuming . Dep art ment of Gastroenterology , the Second Af f iliated H osp ital of Nantong niversity , N antong( 2 250 01), China Abstract: Imaging exam inat ion is a very valuable index for diagnosis of acute pancreat itis( A ) . T he correlation research a bout the course of diseases and inflammatory factor of A has its own roles meanwhile the pert inence research about its varia t ion and assistant examination, such as serum and urine amylase, has its own laws. How ever, the relationship among patho logical variation, imaging manifestat ion and the development of A is still unclear. By exploring the rules of different phase of imaging variation in the early stage, the pinnacle of it and after clinic treat ment, w e hope to find some rules t o guide the clinical diagnosis and treatment. Key words: Acute pancreatitis; Course of diseases; Imaging examination (A ) , , (EU S) , A , CT , MR ; ( SA ) , , , [ 2] , , : ( 1) A , EUS SA , (ERC ) , ? ? (2) , ERC , ? ( 3) 1. 2 A 的MRI 诊断 , ? (MRI) , , MRI A , MRI 1 , A 1730 MRI 1. 1 B 超 CT , Ranson , A , SA 83% 9