急性胰腺炎累及桥隔的CT表现及其临床意义

发布时间：2018-06-14 16:22

本文选题：急性胰腺炎 + 桥隔　；参考：《实用医学杂志》2017年17期

【摘要】：目的讨急性胰腺炎(AP)时肾周间隙内桥隔(BSPS)受累的CT表现及其与胰腺外炎症CT(EPICT)评分的相关性。方法收集106例行全腹CT扫描的AP患者的资料并进行回顾性分析,着重研究双侧BSPS的改变,并记录相应AP患者的EPICT的分值。结果 (1)39例患者的EPICT评分的分值为0~3,67例为4~7分。所有患者均有一侧和/或两侧BSPS受累。左侧BSPS增厚102例,BSPS积液47例;右侧BSPS增厚98例,BSPS积液38例;(2)BSPS增厚表现为走行紊乱的呈稍高密度的条索影,其边缘模糊;BSPS积液表现为与增厚的BSPS走行相一致的边缘模糊的液性密度影;(3)急性胰腺炎所致的BSPS改变与其EPICT评分呈现相关性(r=0.703,P0.01)。结论 CT可充分显示急性胰腺炎侵犯BSPS的情况;其表现可反映急性胰腺炎的临床严重程度。
[Abstract]:Objective to investigate the CT performance of the interrenal interspace bridging septum (BSPS) involvement in acute pancreatitis (AP) and the correlation with the CT (EPICT) score of the exo pancreatic inflammation. Methods the data of 106 patients with AP in the total abdominal CT scan were collected and analyzed retrospectively. The changes of bilateral BSPS were studied and the value of EPICT in the corresponding AP patients was recorded. Results (1) 39 cases were developed. The score of EPICT score was 0~3,67 4~7. All patients had one side and / or bilateral BSPS involvement. Left BSPS thickening in 102 cases, BSPS effusion in 47 cases, right BSPS thickening in 98 cases, BSPS effusion in 38 cases, and (2) BSPS thickening showed a slightly high density stripe, the edge was blurred; BSPS effusion was manifested in BSPS walking phase with thickening. The consistent edge blurred liquid density shadow; (3) the BSPS change caused by acute pancreatitis was correlated with the EPICT score (r=0.703, P0.01). Conclusion CT can fully demonstrate the situation of acute pancreatitis that invaded BSPS, and its manifestation can reflect the clinical severity of acute pancreatitis.
【作者单位】：潍坊医学院医学影像学系;潍坊医学院附属医院影像中心;
【基金】：山东省科学技术发展计划项目(编号:2012YD18106) 山东省医药卫生科技发展计划项目(编号:2011HZ112)
【分类号】：R576;R816.5

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