CAJ | 학술논문

目的：探讨急性胰腺炎（acute pancreatitis ，AP）的CTSI评分与肝/脾CT值比（ liver to spleen CT attenuation value ratio ，L/S ）的相关性。方法对87例AP患者进行腹部CT扫描，测量肝脏、脾脏CT值并计算L/S。根据CTSI分级标准由两名放射科医师盲法阅片将A P分为轻度、中度、重度组。分析A P评分分级与L/S之间的关系。结果87例A P患者L/S降低发生率为55％；轻、中、重度A P患者L/S降低发生率分别为23％、53％、88％；轻度、中度、重度A P患者L/S平均值分别为1．07±0．13、0．95±0．20、0．69±0．26。AP的CTSI评分与L/S呈负相关（r ＝-0．451，P ＝0.00）。结论肝/脾CT值比可以反映AP的严重程度，随着AP严重程度的增加，肝损伤的发生率也在增加。
목적：탐토급성이선염（acute pancreatitis ，AP）적CTSI평분여간/비CT치비（ liver to spleen CT attenuation value ratio ，L/S ）적상관성。방법대87례AP환자진행복부CT소묘，측량간장、비장CT치병계산L/S。근거CTSI분급표준유량명방사과의사맹법열편장A P분위경도、중도、중도조。분석A P평분분급여L/S지간적관계。결과87례A P환자L/S강저발생솔위55％；경、중、중도A P환자L/S강저발생솔분별위23％、53％、88％；경도、중도、중도A P환자L/S평균치분별위1．07±0．13、0．95±0．20、0．69±0．26。AP적CTSI평분여L/S정부상관（r ＝-0．451，P ＝0.00）。결론간/비CT치비가이반영AP적엄중정도，수착AP엄중정도적증가，간손상적발생솔야재증가。
Objective To discuss the relationship between CTSI scoring and liver to spleen CT attenuation value ratio (L/S) in acute pancreatitis (AP) .Methods Abdominal helical CT scanning was performed in 87 patients with AP .CT attenuation value of liver and spleen was measured and the L/S value was calculated .Patients with AP were graded into mild ,moderate and severe groups according to CTSI scoring by two doctors who were blind to interpret the imaging find-ings .Results The rate of the lower L/S was 55% in 87 patients with AP .The rate of the lower L/S was 23% ,53% , 88% in patients with mild ,moderate and severe AP respectively .The mean L/S value of patients with mild ,moderate and severe AP was 1 .07 ± 0 .13 ,0 .95 ± 0 .20 and 0 .69 ± 0 .26 respectively .The CTSI scoring was negatively correlated with L/S value in AP ( r =-0 .451 ,P=0 .00) .Conclusion The L/S can reflect the severity of AP ,furthermore ,with the se-verity of AP increases ,the rate of liver injury increases .