急性胰腺炎肝损害的DWI研究

发布时间：2018-09-03 19:53

【摘要】：目的:探讨急性胰腺炎(AP)严重程度与肝损害相关性及肝脏ADC值对评价肝损害的价值。方法:回顾性分析103例AP患者的临床资料,根据血生化指标将AP分为肝功能损害组和肝功能正常组,根据APACHEⅢ评分将AP分为轻度(30分)和重度(≥30分)两组。分析AP肝损害发生率与APACHEⅢ评分的相关性,肝脏ADC值与AST、ALT及APACHEⅢ评分的相关性。结果:103例AP患者肝损害发生率为62%,肝损害发生率与APACHEⅢ评分正相关(P0.05)。肝功能损害组肝脏ADC值低于肝功能正常组(P0.05)。肝功能损害组ADC值与ALT、AST均呈负相关(r=-0.584,P0.05;r=-0.731,P0.05)。肝功能损害组中,重度AP的肝脏ADC值低于轻度AP(P0.05)。结论:AP患者肝功能损害发生率随APACHEⅢ评分升高而升高,ADC值在一定程度上可以预测和评价AP所致肝损害。
[Abstract]:Objective: to investigate the correlation between (AP) severity and liver injury and the value of liver ADC value in evaluating liver injury in acute pancreatitis. Methods: the clinical data of 103 patients with AP were analyzed retrospectively. According to the blood biochemical indexes, AP was divided into two groups: liver dysfunction group and normal group. According to APACHE 鈪，

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