摘要
目的探讨急性胰腺炎腹膜后间隙、腹膜下间隙扩散的CT表现与临床严重程度的相关性。方法回顾性分析57例急性胰腺炎患者的临床和影像学资料,根据亚特兰大临床分类标准将急性胰腺炎分轻、重两类;按急性胰腺炎的CT表现进行CT严重指数(CTSI)计分分级;按腹膜后间隙、腹膜下间隙扩散CT范围分级、评分。分析腹膜后间隙、腹膜下间隙扩散CT范围分级评分、CTSI计分分级与临床严重程度分级评分的相关性。结果腹膜后间隙、腹膜下间隙扩散CT范围分级评分与临床严重程度和CTSI呈正相关;临床严重程度与CTSI亦呈正相关。结论急性胰腺炎扩散至腹膜后间隙、腹膜下间隙的CT范围分级评分与临床严重程度密切相关,为急性胰腺炎的临床严重程度及预后提供重要的影像学信息。
Objective To discuss the relationship between clinical severity and CT features of acute pancreatitis（AP）involving retro-and sub-peritoneal spaces.Methods CT and clinical data of 57 patients with AP were retrospectively analyzed.According to the Atlanta classification standard,AP was classified into mild and severity;CT severity index（CTSI）and CT grading of AP were performed according to the CT features.Clinical severity,CTSI,and CT grading of AP involving the retro-and sub-peritoneal spaces were assessed and scored,respectively.Results CT grading of AP involving the retro-and the sub-peritoneal spaces had positive correlation with clinical severity and CTSI,while clinical severity of AP was positively correlated with CTSI.Conclusion CT grading of AP involving the retro-and sub-peritoneal spaces closely relates with clinical severity and provides important imaging information for the clinical severity and the prognosis of AP.
出处
《中国医学影像技术》
CSCD
北大核心
2009年第11期2065-2068,共4页
Chinese Journal of Medical Imaging Technology
