中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
16期
106-108,161
,共4页
炎性浸润%腹膜后隙%急性胰腺炎%相关性分析
炎性浸潤%腹膜後隙%急性胰腺炎%相關性分析
염성침윤%복막후극%급성이선염%상관성분석
Inflammatory infiltration%Retroperitoneal clearance%Acute pancreatitis%Correlation analysis
目的：分析急性胰腺炎(AP)临床严重程度与腹膜后隙的CT炎性浸润程度的相关性。方法选择2010年6月~2012年6月间接受诊治的急性胰腺炎患者236例,对其进行CT检查,通过CT检查结果对比分析腹膜后隙的炎性浸润程度与急性胰腺炎临床严重程度。结果236例患者中,程度不等的累及腹膜后隙196例,其中88例为轻症急性AP,累及以肾旁前间隙为主,66例为重1型急性胰腺炎,累及肾周间隙与肾旁前间隙,82例为重2型AP累及肾周间隙、肾旁前间隙、肾旁后间隙。炎性浸润与临床严重程度呈正相关(r=0.7797,P=0.001)。结论腹膜后隙的CT炎性浸润程度,特别是肾旁后间隙的受累情况,一般均会表现出急性胰腺炎的临床严重程度。
目的：分析急性胰腺炎(AP)臨床嚴重程度與腹膜後隙的CT炎性浸潤程度的相關性。方法選擇2010年6月~2012年6月間接受診治的急性胰腺炎患者236例,對其進行CT檢查,通過CT檢查結果對比分析腹膜後隙的炎性浸潤程度與急性胰腺炎臨床嚴重程度。結果236例患者中,程度不等的纍及腹膜後隙196例,其中88例為輕癥急性AP,纍及以腎徬前間隙為主,66例為重1型急性胰腺炎,纍及腎週間隙與腎徬前間隙,82例為重2型AP纍及腎週間隙、腎徬前間隙、腎徬後間隙。炎性浸潤與臨床嚴重程度呈正相關(r=0.7797,P=0.001)。結論腹膜後隙的CT炎性浸潤程度,特彆是腎徬後間隙的受纍情況,一般均會錶現齣急性胰腺炎的臨床嚴重程度。
목적：분석급성이선염(AP)림상엄중정도여복막후극적CT염성침윤정도적상관성。방법선택2010년6월~2012년6월간접수진치적급성이선염환자236례,대기진행CT검사,통과CT검사결과대비분석복막후극적염성침윤정도여급성이선염림상엄중정도。결과236례환자중,정도불등적루급복막후극196례,기중88례위경증급성AP,루급이신방전간극위주,66례위중1형급성이선염,루급신주간극여신방전간극,82례위중2형AP루급신주간극、신방전간극、신방후간극。염성침윤여림상엄중정도정정상관(r=0.7797,P=0.001)。결론복막후극적CT염성침윤정도,특별시신방후간극적수루정황,일반균회표현출급성이선염적림상엄중정도。
Objective To study the correlation of patients with acute pancreatitis gap retroperitoneal inflammatory in-filtration CT and clinical severity. Methods 236 cases of acute pancreatitis from June 2010 to June 2012 were collected for treatment, comparatively analyzed and compared clinical severity of inflammatory infiltration of acute pancreatitis and retroperitoneal gap though CT examination. Results A total of 236 cases of patients were selected and 196 cases of patients with varying degrees of post-gap involving the peritoneum, 88 cases of mild acute pancreatitis, mainly involv-ing the next pre-renal clearance, 66 cases of severe acute pancreatitis type 1, while involving the perirenal space next stage renal clearance in front to the main level II infiltration, 82 cases of severe acute type 2 pancreatitis, involved the perirenal space, before clearance and clearance, renal infiltration beside kidney. CT inflammatory infiltration and retroperitoneal gap clinical severity was positively correlated (r=0.7797, P=0.001). Conclusion CT retroperitoneal in-flammatory infiltration gap, especially next to the renal clearance of involvement often reflect the clinical severity of acute pancreatitis.
