急性胰腺炎腹膜后隙CT炎性浸润程度与临床严重程度相关性分析.docVIP

急性胰腺炎腹膜后隙CT炎性浸润程度与临床严重程度相关性分析 　　[摘要] 目的 分析急性胰腺炎（AP）临床严重程度与腹膜后隙的CT炎性浸润程度的相关性。 方法 选择2010年6月～2012年6月间接受诊治的急性胰腺炎患者236例，对其进行CT检查，通过CT检查结果对比分析腹膜后隙的炎性浸润程度与急性胰腺炎临床严重程度。 结果 236例患者中，程度不等的累及腹膜后隙196例，其中88例为轻症急性AP，累及以肾旁前间隙为主，66例为重1型急性胰腺炎，累及肾周间隙与肾旁前间隙，82例为重2型AP累及肾周间隙、肾旁前间隙、肾旁后间隙。炎性浸润与临床严重程度呈正相关（r=0.7797，P=0.001）。 结论腹膜后隙的CT炎性浸润程度，特别是肾旁后间隙的受累情况，一般均会表现出急性胰腺炎的临床严重程度。 　　[关键词] 炎性浸润；腹膜后隙；急性胰腺炎；相关性分析 　　[中图分类号] R576；R816.5 [文献标识码] B [文章编号] 1673-9701（2015）16-0106-03 　　[Abstract] Objective To study the correlation of patients with acute pancreatitis gap retroperitoneal inflammatory infiltration CT and clinical severity. Methods 236 cases of acute pancreatitis from June 2010 to June 2012 were collected for treatment， comparatively analyzed and compared clinical severity of inflammatory infiltration of acute pancreatitis and retroperitoneal gap though CT examination. Results A total of 236 cases of patients were selected and 196 cases of patients with varying degrees of post-gap involving the peritoneum， 88 cases of mild acute pancreatitis， mainly involving the next pre-renal clearance， 66 cases of severe acute pancreatitis type 1， while involving the perirenal space next stage renal clearance in front to the main level II infiltration， 82 cases of severe acute type 2 pancreatitis， involved the perirenal space， before clearance and clearance， renal infiltration beside kidney. CT inflammatory infiltration and retroperitoneal gap clinical severity was positively correlated （r=0.7797， P=0.001）. Conclusion CT retroperitoneal inflammatory infiltration gap， especially next to the renal clearance of involvement often reflect the clinical severity of acute pancreatitis. 　　[Key words] Inflammatory infiltration； Retroperitoneal clearance； Acute pancreatitis； Correlation analysis 　　急性胰腺炎（AP）是一种常见的临床急腹症，其病因、病理较为复杂，AP可在腹膜后间隙广泛扩散。根据肾筋膜为标志将腹膜后隙（RS）主要分为肾旁后间隙（PPS）、肾周间隙（PS）及肾旁前间隙（APS）[1-3]。当患者发生胰腺炎时，容易渗透到APS[4，5]。临床上，AP能够使单个或多个重要器官功能受到严重损害，并且炎症渗液向腹膜腔及腹膜后隙扩散，从而导致各种症状及体征。本文旨在分析AP严重程度与RS的CT炎性浸润相关性，现报道如下。