急性胰腺炎严重程度及预后的影像学评估进展

Progress in imaging evaluation of acute pancreatitis severity and prognosis

急性胰腺炎(AP)是一种累及胰腺、全身器官的胃肠道急症,常需多学科会诊。大多数患者病情较轻,属于急性水肿型胰腺炎,预后较好;少部分出血坏死型重症患者,多伴有胰腺坏死和器官衰竭等并发症,死亡率较高,因此早期借助其他工具准确识别病情对患者预后有重要的意义。部分实验室检查被证明可用于急性胰腺炎病情分度,但该检查作用有限。本文就计算机断层扫描(CT)、磁共振成像(MRI)及超声(US)检查对急性胰腺炎严重程度及预后的评估价值进行综述。

Acute pancreatitis(AP)is a gastrointestinal emergency that involves the pancreas and systemic organs,which often requires multidisciplinary consultation.Most patients are mild and have edematous pancreatitis with a good prognosis.A small number of severe patients with hemorrhagic necrosis are often accompanied by complications such as pancreatic necrosis and organ failure,and the mortality rate is high.Therefore,using some tools to accurately identify the disease in the early stage has great significance to the prognosis of patients.Some laboratory tests have been proven to be useful for grading acute pancreatitis,but the test has limited effect.Therefore,this article reviews the value of computed tomography(CT),magnetic resonance imaging(MRI),and ultrasound(US)imaging examinations in evaluating the severity and prognosis of acute pancreatitis.