重症胰腺炎并发腹腔高压的影像学研究进展

Advances in imaging studies of severe pancreatitis complicated with abdominal hypertension

腹腔高压(intra-abdominal hypertension,IAH)是重症胰腺炎(severe acute pancreatitis,SAP)的常见并发症之一,按照腹内压等级和伴/不伴器官功能不全可分为腹腔高压或腹腔间隔室综合征(abdominal compartment syndrome,ACS)。IAH/ACS时引起的病理生理改变可导致多器官功能障碍(multiple organ dysfunction syndrome,MODS),是影响SAP病情演进及患者预后的要素。影像学检查是诊断SAP不可或缺的方法,但对其合并IAH/ACS的研究有限。本研究就目前IAH/ACS的发病机制、影像学研究进展及展望进行综述,旨在更准确地评估患者病情及为临床医生制订个体化治疗方案提供更多信息。

Abdominal hypertension(IAH)is one of the common complications of severe pancreatitis(SAP).According to the grade of intra-abdominal pressure(IAP)and organ dysfunction,IAH can be divided into abdominal hypertension or abdominal compartment syndrome(ACS).Pathophysiological changes induced by IAH/ACS can lead to multiple organ dysfunction,which is an important factor affecting the progression of SAP and the prognosis of patients.Imaging examination is an indispensable method for the diagnosis of SAP,but the study of its combination with IAH/ACS is limited.This article reviews the current progress and prospects of IAH/ACS in pathogenesis and imaging research,aiming at more accurate assessment of patients’condition and providing more information for clinicians to develop individualized treatment programs.