放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
10期
1183-1186
,共4页
鲍志国%张小明%王志学%周青
鮑誌國%張小明%王誌學%週青
포지국%장소명%왕지학%주청
胰腺炎%胸腔积液%解剖%体层摄影术,X 线计算机
胰腺炎%胸腔積液%解剖%體層攝影術,X 線計算機
이선염%흉강적액%해부%체층섭영술,X 선계산궤
Pancreatitis%Pleural effusion%Dissction%Tomography,X-ray computed
目的：研究急性胰腺炎（AP）向纵隔扩散并致胸腔积液（PE）的 CT 表现、解剖通道，以及与急性胰腺炎 CT 严重指数（CTSI）和急性生理慢性健康评分系统Ⅱ（APACHEⅡ）的相关性。方法：回顾分析119例因 AP 入院并行 CT 检查患者。观察 PE 发生率、胰周积液向纵隔扩散的解剖途径并评分分级；AP 的严重程度用 CTSI 及 APACHEⅡ评分分级并统计分析 PE 分级与 CTSI 及 APACHEⅡ评分相关性。结果：119例74．78％患者并发不同程度 PE。胰周积液向纵隔扩散时食管裂孔受累25．21％，主动脉裂孔5．04％，下腔静脉裂孔2．52％。PE 评分与 CTSI 正相关（r＝0．449，P ＜0．01），与APACHE Ⅱ评分无相关性（r＝0．197，P ＜0．05）。结论：AP 伴发 PE 较常见，胰周积液通过膈肌裂孔向胸腔扩散。PE 也可以做为评价 AP 严重程度的辅助指标。
目的：研究急性胰腺炎（AP）嚮縱隔擴散併緻胸腔積液（PE）的 CT 錶現、解剖通道，以及與急性胰腺炎 CT 嚴重指數（CTSI）和急性生理慢性健康評分繫統Ⅱ（APACHEⅡ）的相關性。方法：迴顧分析119例因 AP 入院併行 CT 檢查患者。觀察 PE 髮生率、胰週積液嚮縱隔擴散的解剖途徑併評分分級；AP 的嚴重程度用 CTSI 及 APACHEⅡ評分分級併統計分析 PE 分級與 CTSI 及 APACHEⅡ評分相關性。結果：119例74．78％患者併髮不同程度 PE。胰週積液嚮縱隔擴散時食管裂孔受纍25．21％，主動脈裂孔5．04％，下腔靜脈裂孔2．52％。PE 評分與 CTSI 正相關（r＝0．449，P ＜0．01），與APACHE Ⅱ評分無相關性（r＝0．197，P ＜0．05）。結論：AP 伴髮 PE 較常見，胰週積液通過膈肌裂孔嚮胸腔擴散。PE 也可以做為評價 AP 嚴重程度的輔助指標。
목적：연구급성이선염（AP）향종격확산병치흉강적액（PE）적 CT 표현、해부통도，이급여급성이선염 CT 엄중지수（CTSI）화급성생리만성건강평분계통Ⅱ（APACHEⅡ）적상관성。방법：회고분석119례인 AP 입원병행 CT 검사환자。관찰 PE 발생솔、이주적액향종격확산적해부도경병평분분급；AP 적엄중정도용 CTSI 급 APACHEⅡ평분분급병통계분석 PE 분급여 CTSI 급 APACHEⅡ평분상관성。결과：119례74．78％환자병발불동정도 PE。이주적액향종격확산시식관렬공수루25．21％，주동맥렬공5．04％，하강정맥렬공2．52％。PE 평분여 CTSI 정상관（r＝0．449，P ＜0．01），여APACHE Ⅱ평분무상관성（r＝0．197，P ＜0．05）。결론：AP 반발 PE 교상견，이주적액통과격기렬공향흉강확산。PE 야가이주위평개 AP 엄중정도적보조지표。
Objective:To study the CT patterns,anatomic pathways of acute pancreatitis (AP)accompanied with pleural effusion via diaphragmatic pathways,as well as the correlation of pleural effusion with the CT severity index (CTSI) and the acute physiology and chronic healthy evaluationⅡ scoring system (APACHEⅡ).Methods:The CT findings of 119 patients with acute pancreatitis admitted to our institution were retrospectively analyzed.The incidence of pleural effusion, anatomical pathways of peripancreatic effusion draining to pleural cavity via diaphragm as well as the correlation of PE grad-ing and CTSI,APACHE Ⅱ were analyzed.Results:Of the 119 patients with acute pancreatitis,74.8% of patients had vari-ous degree of pleural effusion on CT.Peripancreatic effusion draining to pleural cavity via esophageal hiatus was in 25.21%of patients,aortic hiatus was 5.04% and inferior vena cava hiatus was 2.52%.The rating of pleural effusion on CT was cor-related with CTSI scores(r=0.449,P =0.000)and was not correlated with APACHEⅡscores (r =0.197,P =0.016). Conclusion:Acute pancreatitis accompanied with PE could be commonly seen.Peripancreatic effusion passed through dia-phragmatic hiatus,then involved pleural cavity.PE might be a supplementary parameter in evaluating the severity of AP.
