中国临床新医学
中國臨床新醫學
중국림상신의학
Chinese Journal of New Clinical Medicine
2015年
10期
964-966,967
,共4页
急性胰腺炎%肝功能%体层摄影术%X线计算机
急性胰腺炎%肝功能%體層攝影術%X線計算機
급성이선염%간공능%체층섭영술%X선계산궤
Acute pancreatitis%Liver function%Tomography%X-ray computer
目的：探讨急性胰腺炎（ AP）合并肝损害的影像学表现及临床意义。方法选取该院2012-01～2015-02收治的40例临床确诊为AP的患者，分为轻型胰腺炎（ MAP）25例和重型胰腺炎（ SAP）15例，并随机选取同期就诊的查体健康者15名作为对照组，进行平扫肝／脾CT值比值测量，对肝功能实验室检查的各项指标进行回顾性分析，观察肝／脾CT值比值与肝功能损害的关系，比较各组间差异性。结果25例MAP中肝功能损害指标升高18例，出现肝／脾CT值比值倒置72％（13／18）；肝功能指标正常7例，出现肝／脾CT值比值倒置57％（4／7），未出现倒置43％（3／7）；SAP患者肝功能损害指数上升且肝／脾CT值比值倒置93.3％（14／15）。 MAP、SAP肝功能损害指标升高组肝／脾CT值比值分别为（0.85±0.21）、（0.69±0.31），与正常组肝／脾CT值比值（1.25±0.15）比较差异有统计学意义（P＜0.05）。结论肝脏CT值降低程度与胰腺炎程度有一定的相关。
目的：探討急性胰腺炎（ AP）閤併肝損害的影像學錶現及臨床意義。方法選取該院2012-01～2015-02收治的40例臨床確診為AP的患者，分為輕型胰腺炎（ MAP）25例和重型胰腺炎（ SAP）15例，併隨機選取同期就診的查體健康者15名作為對照組，進行平掃肝／脾CT值比值測量，對肝功能實驗室檢查的各項指標進行迴顧性分析，觀察肝／脾CT值比值與肝功能損害的關繫，比較各組間差異性。結果25例MAP中肝功能損害指標升高18例，齣現肝／脾CT值比值倒置72％（13／18）；肝功能指標正常7例，齣現肝／脾CT值比值倒置57％（4／7），未齣現倒置43％（3／7）；SAP患者肝功能損害指數上升且肝／脾CT值比值倒置93.3％（14／15）。 MAP、SAP肝功能損害指標升高組肝／脾CT值比值分彆為（0.85±0.21）、（0.69±0.31），與正常組肝／脾CT值比值（1.25±0.15）比較差異有統計學意義（P＜0.05）。結論肝髒CT值降低程度與胰腺炎程度有一定的相關。
목적：탐토급성이선염（ AP）합병간손해적영상학표현급림상의의。방법선취해원2012-01～2015-02수치적40례림상학진위AP적환자，분위경형이선염（ MAP）25례화중형이선염（ SAP）15례，병수궤선취동기취진적사체건강자15명작위대조조，진행평소간／비CT치비치측량，대간공능실험실검사적각항지표진행회고성분석，관찰간／비CT치비치여간공능손해적관계，비교각조간차이성。결과25례MAP중간공능손해지표승고18례，출현간／비CT치비치도치72％（13／18）；간공능지표정상7례，출현간／비CT치비치도치57％（4／7），미출현도치43％（3／7）；SAP환자간공능손해지수상승차간／비CT치비치도치93.3％（14／15）。 MAP、SAP간공능손해지표승고조간／비CT치비치분별위（0.85±0.21）、（0.69±0.31），여정상조간／비CT치비치（1.25±0.15）비교차이유통계학의의（P＜0.05）。결론간장CT치강저정도여이선염정도유일정적상관。
Objective To study the imaging features of acute pancreatitis complicated with liver damage and their clinical significances.Methods Forty patients who were clinically diagnosed as acute pancreatitis( AP) in our hospital from January 2012 to February 2015 were divided into light pancreatitis group( MAP) and severe acute pan-creatitis group( SAP) .15 healthy people were collected as the control group.The ratio of liver scan to spleen scan was measured and laboratory examination of liver function were analyzed in all groups.Results 25 cases were found in MAP group and 15 cases in SAP group.Among 25 cases of MAP group, liver function damage index increased in 18 cases and the inversion of liver/spleen CT ratio occurred in 13 cases(72%);7 cases were normal and their liver function index of liver/spleen CT ratio inversion was 57%(4/7), without inversion occurring in 3 cases(43%).The liver function damage index was elevated in SAP patients and their liver/spleen CT ratio value inversion was 93.3%(14/15).The liver function damage index was elevated in MAP group and SAP group and their liver/spleen CT ratio values were (0.85 ±0.21) and (0.69 ±0.31).The liver/spleen CT value ratio of the normal group was (1.25 ± 0.15), with significant differences compared with MAP group and SAP group(P<0.05).Conclusion Reduced liv-er CT values are associated with the degree of acute pancreatitis.
