CT分级与临床Ranson评分相结合对评价急性胰腺炎预后的价值

Value of the Combination of CT Classification and Ranson Score in Predicting the Prognosis of Acute Pancreatitis

目的:探讨CT分级诊断与临床Ranson评分相结合对评价急性胰腺炎预后的价值。方法:选择2009-2010年包头医学院第一附属医院确诊的急性胰腺炎患者68例,进行过CT平扫及增强扫描,并进行CT分级及临床Ranson分型评分,两者相结合对治疗预后进行对比研究。结果:68例中,CT分级A级17例、B级15例、C级13例、D级12例和E级11例。病变CT分级与Ranson评分相关(r=0.619,P<0.05),病变范围CT分级与临床预后指标相关(r=0.458,P<0.05)。结论:急性胰腺炎患者CT分级与临床Ranson评分结合能直观反映病变范围、程度及病程变化,与其预后相关性好。

Objective： To investigate the value of the combination of CT classification and Ranson score in predicting the prognosis of acute pancreatitis. Methods： Sixty eight patients with acute pancreatitis were recruited in the first affiliated hospital of Baotou medical college between 2009 and 2010. All cases were performed CT scan and Ranson classification. And the data were analyzed to estimate the treatment and prognosis of the patients. Results ： Among 68 cases, there were 17, 15, 13, 12, and 11 patients at the level A, B, C, D, and E, respectively. CT classification of lesions was significantly correlated with the Ranson score. And the CT classification for the extent of pathological changes was also significantly associated with prognosis. Conclusion ： For patients with acute pancreatitis, the combination of CT classification and Ranson score could directly reflect the extent, degree and course changes of disease, and it is well correlated with prognosis.