增强CT对急性胰腺炎的分期及预后评价

Evaluation on Staging and Prognosis of Acute Pancreatitis by Enhanced CT

目的探讨增强电子计算机断层扫描(CT)对急性胰腺炎(AP)的分期及预后预测价值。方法回顾性分析本院2019年1月至2019年12月期间收治的92例AP患者的临床病历资料以及CT影像学资料。结果92例AP患者经过增强CT确诊急性水肿性胰腺炎59例,出血性坏死性胰腺炎33例,其中2例急性水肿性胰腺炎后结合患者临床表现、实验室检查以及CT复查确.诊为出血性l坏死性胰腺炎,增强CT诊断准确率为9783%;BathazarCT严重指数(CTSI)A级组发热时间、禁食时间、血淀粉酶恢复.时间、住院时间短于CTSIB级组与CTSIC级组(P<005),中转手.术、假性囊肿、器官衰竭发生率低于CTSIC级组(P<005);CTSIB级组发热时间、禁食时间、.血淀粉酶恢复时间、住院时间短于CTSIC级组(P<005),中转手术、假性囊肿.、器官衰竭发生率以及死亡率低于CTSIC级组(P<005)。结论增强CT应用于AP的诊断价值较高,有助于预测患者预后结局。

Objective To explore the predictive value of enhanced computerized tomography(CT) in the staging and prognosis of acute pancreatitis(AP). Methods A retrospective analysis was performed on the clinical medical records and CT imaging data of 92 AP patients who were admitted to the hospital from January 2019 to December 2019. Results Of the 92 AP patients, there were 59 cases with acute edematous pancreatitis and 33 cases with hemorrhagic necrotic pancreatitis confirmed by enhanced CT. Among the 59 patients with acute edematous pancreatitis, there were 2 cases confirmed with hemorrhagic necrotic pancreatitis based on clinical manifestations, laboratory examination and CT re-examination. The diagnostic accuracy rate of enhanced CT was 97.83%. The fever time, fasting time, recovery time of blood amylase and hospitalization time in group Balthazar CT severity index(CTs I) A were shorter than those in group CTs I B and CTs I C(P<0.05), incidence of transferred surgery, pseudocyst and organ failure was lower than that in group CTs I C(P<0.05). The fever time, fasting time, recovery time of blood amylase and hospitalization time in group in group CTs I B were shorter than those in CTs I C(P<0.05), incidence of transferred surgery, pseudocyst and organ failure, and mortality were lower than those in group CTs I C(P<0.05). Conclusion Diagnostic value of enhanced CT is high in AP, which is conducive to predicting prognosis of patients.