急性胰腺炎的CT表现与严重程度及预后评价

The Correlative Study between the Severity of CT Appearance and Clinical Prognosis in Acute Pancreatitis

目的探讨急性胰腺炎的CT表现,了解其CT表现严重程度与临床表现严重程度的相关性,从而对其预后进行评价。方法回顾性分析50例急性胰腺炎的CT表现,重点观察胰腺、胰周和腹膜后间隙的受累情况。结果50例中CT清楚地显示了胰腺及其周围组织的情况。按CTSI标准,50例中0-3分28例,4-6分17例,7-10分5例。结论CT检查对诊断急性胰腺炎阳性率较高,CTSI标准对评判严重程度、制定治疗方案及预后评价可提供真实而客观的依据。

Objective This study was designed to explore the correlation between the severity of CT appearance and clinical prognosis in acute pancreatitis （AP）. Methods The CT images of 50 eases in AP were retrospectively observed. We observed mainly the pancreas space,retroperitoneal space,and pancreas itself involvement. Results In the 50 cases pancreas and pancreas space involvement were clearly displayed. According to the standard of CT severity index （CTSI） , there were 28 cases （0 -3 score） , 17 cases （4 - 6 score） , and 5 cases （7 - 10 score）. Conclusion CT was better than other examinations in acute pancreatitis （AP） , it could be helpful to diagnose, to judge the severity, to make therapy plan, and to judge the prognosis.