中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
110-110,112
,共2页
中度急性胰腺炎%改良CT严重指数%Rason评分%APACHEⅡ评分%BISAP评分
中度急性胰腺炎%改良CT嚴重指數%Rason評分%APACHEⅡ評分%BISAP評分
중도급성이선염%개량CT엄중지수%Rason평분%APACHEⅡ평분%BISAP평분
Mild acute pancreatitis%The modified CT severity index%Rason score%APACHE II score%BISAP score
目的：通过CT检查改良CT严重指数对急性胰腺炎(AP)的诊断价值，探讨中度急性胰腺炎的改良CT严重指数(MCTSI)与临床病情的相关性，为临床制定合理治疗方案及判断预后起指导性作用。方法：收治 MSAP 患者198例，男146例，女52例，年龄32～76岁，平均(49±13)岁。行胰腺增强CT检查，收集影像学资料及临床资料，观察MCTSI分值与并发症构成比，与临床 Rason、PACHEⅡ、BISAP评分的相关性。结果：出现一种或多种程度不同的严重并发症的病例中，MCTSI表现集中出现在4～10分中；MCTSI分别与Rason、APACHEⅡ、BISAP评分成正相关(P＜0.05)。结论：通过增强CT检查MCTSI对中度急性胰腺炎的诊断有肯定价值；MCTSI评分与临床病情存在相关性，对中度急性胰腺炎的病情评估及预后判断存在重要价值。
目的：通過CT檢查改良CT嚴重指數對急性胰腺炎(AP)的診斷價值，探討中度急性胰腺炎的改良CT嚴重指數(MCTSI)與臨床病情的相關性，為臨床製定閤理治療方案及判斷預後起指導性作用。方法：收治 MSAP 患者198例，男146例，女52例，年齡32～76歲，平均(49±13)歲。行胰腺增彊CT檢查，收集影像學資料及臨床資料，觀察MCTSI分值與併髮癥構成比，與臨床 Rason、PACHEⅡ、BISAP評分的相關性。結果：齣現一種或多種程度不同的嚴重併髮癥的病例中，MCTSI錶現集中齣現在4～10分中；MCTSI分彆與Rason、APACHEⅡ、BISAP評分成正相關(P＜0.05)。結論：通過增彊CT檢查MCTSI對中度急性胰腺炎的診斷有肯定價值；MCTSI評分與臨床病情存在相關性，對中度急性胰腺炎的病情評估及預後判斷存在重要價值。
목적：통과CT검사개량CT엄중지수대급성이선염(AP)적진단개치，탐토중도급성이선염적개량CT엄중지수(MCTSI)여림상병정적상관성，위림상제정합리치료방안급판단예후기지도성작용。방법：수치 MSAP 환자198례，남146례，녀52례，년령32～76세，평균(49±13)세。행이선증강CT검사，수집영상학자료급림상자료，관찰MCTSI분치여병발증구성비，여림상 Rason、PACHEⅡ、BISAP평분적상관성。결과：출현일충혹다충정도불동적엄중병발증적병례중，MCTSI표현집중출현재4～10분중；MCTSI분별여Rason、APACHEⅡ、BISAP평분성정상관(P＜0.05)。결론：통과증강CT검사MCTSI대중도급성이선염적진단유긍정개치；MCTSI평분여림상병정존재상관성，대중도급성이선염적병정평고급예후판단존재중요개치。
Objective:Through the examination of CT to investigate the diagnostic value of modified CT severity index on acute pancreatitis(AP),to explore the correlation of modified CT severity index and clinical conditions of moderate acute pancreatitis,so as to play a guiding role for making a reasonable treatment and prognostic judgement.Methods:198 patients with MSAP were selected,including male of 146 cases and female of 52 cases.Age was 32~76 years old,mean age was 49 ± 13 years old.All patients underwent pancreatic enhancement CT examination to collect the imaging and clinical data.We observed the constituent ratio of MCTSI score and complications,and the correlation with clinical Rason,PACHE Ⅱ and BISAP score.Results:In the cases with one or more different severe complications,MCTSI expression appeared in 4~10 obviously;MCTSI was positively correlated with Rason,APACHE Ⅱ and BISAP score respectively(P<0.05).Conclusion:Enhanced CT examination of MCTSI in the diagnosis of moderate acute pancreatitis has definite value;there is correlation between MCTSI score and clinical disease.It has important value for evaluation of severity and prognosis of the moderate acute pancreatitis.
