胰腺炎CT坏死分级对胰腺炎疗效评价效果.docVIP

胰腺炎CT坏死分级对胰腺炎疗效评价效果 　　[摘要]目的 探究胰腺炎CT?乃婪旨抖砸认傺琢菩У钠兰坌Ч?。方法 选取2014年7月1日～2017年7月1日我院收治的55例坏死性胰腺炎患者作为研究对象。患者均接受CT扫描，将CT坏死分级和胰腺炎患者的预后指标进行综合分析，评估治疗效果。结果 CT诊断出点片状坏死16例，段状坏死22例，全胰腺坏死17例。点片状坏死患者的禁食时间[（7.12±2.01）d]、发热时间[（2.48±2.14）d]以及住院天数[（16.25±5.52）d]短于段状坏死[（10.26±2.25）、（4.52±2.13）、（20.16±4.34）d]及全胰腺坏死[（15.34±3.31）、（6.67±3.32）、（40.26±7.15）d]，差异有统计学意义（P0.05）；点片状坏死和段状坏死患者的中转手术率、死亡率比较，差异无统计学意义（P0.05）；但全胰腺坏死患者的中转手术率（35.29%）、死亡率（29.41%）均高于点片状坏死（0.00%，6.25%）和段状坏死（9.09%，9.09%），差异均有统计学意义（P0.05）。结论 CT在胰腺坏死分级中的应用准确性较高，对胰腺坏死程度进行分级后，可采取对应的治疗方案，以此来改善预后，保证患者生命安全。 　　[关键词]CT；胰腺炎；坏死分级；治疗评价 　　[中图分类号] R657.51 [文献标识码] A [文章编号] 1674-4721（2017）12（c）-0093-03 　　[Abstract]Objective To investigate the evaluation effect of pancreatitis CT necrosis grading on the efficacy of pancreatitis.Methods From July 1，2014 to July 1，2017，55 patients with necrotizing pancreatitis treated in our hospital were selected as the subjects.All patients received CT scan，the CT necrosis grading and prognosis indicators of pancreatitis were analyzed comprehensively to evaluate the therapeutic effect.Results By CT scan，16 cases of point or slice necrosis，22 cases of segmental necrosis and 17 cases of the total pancreas necrosis were diagnosed.The fasting time （[7.12±2.01] d），heating time （[2.48±2.14] d） and hospitalization days （[16.25±5.52] d） of patients with point or slice necrosis were shorter than those of patients with segmental necrosis （[10.26±2.25]，[4.52±2.13]，[20.16±4.34] d） and the total pancreas necrosis （[15.34±3.31]，[6.67±3.32]，[40.26±7.15] d），the differences were statistically significant （P0.05）.The transshipment operation rate and mortality of patients with point or slice necrosis and segmental necrosis were compared，the differences were not statistically significant （P0.05）.While the transshipment operation rate （35.29%） and mortality （29.41%） of patients with total pancreas necrosis were higher than those of patients with point or slice necrosis （0.00%，6.25%） and segmental necrosis （9.09%，9.09%），the d