中度急性胰腺炎改良CT严重指数与临床情况相关性分析.docVIP

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 　　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（P0.05）。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 　　Correlation analysis of modified CT severity index and clinical conditions of moderate acute pancreatitis 　　Liu Peixi 　　Luzhou Medical College，Sichuan 646000 　　Abstract Objective：Through the examination of CT to investigate the diagnostic value of modified CT severity index on acute pancreatitis（AP），to explore the correlation of modified CT severity index and clinical conditions of moderate acute pancreatitis，so as to play a guiding role for making a reasonable treatment and prognostic judgement.Methods：198 patients with MSAP were selected，including male of 146 cases and female of 52 cases.Age was 32～76 years old，mean age was 49±13 years old.All patients underwent pancreatic enhancement CT examination to collect the imaging and clinical data.We observed the constituent ratio of MCTSI score and complications，and the correlation with clinical Rason，PACHE Ⅱ and BISAP score.Results：In the cases with one or more different severe complications，MCTSI expression appeared in 4～10 obviously；MCTSI was positively correlated with Rason，APACHE Ⅱ and BISAP score respectively（P0.05）.Conclusion：Enhanced CT examination of MCTSI in the diagnosis of moderate acute pancreatitis has definite value；there is correlation between MCTSI score and clinical disease.It has important value for evaluation of severity and prognosis of the moderate acute pancreatitis. 　　Key words Mild acute pancreatitis；The modified CT severity index；Rason score；APACHE II score；BISAP score 　　资料与方法 　　2011年1月-2014年2月收治MSAP