摘要
目的探讨急性胰腺炎时肾周间隙的受累分级与急性胰腺炎临床严重程度Ranson分级的相关性。方法回顾性分析75例连续性急性胰腺炎患者的螺旋CT资料及临床资料,使用肾周间隙受累分级标准对肾周间隙受累进行CT影像分级,使用Ranson标准对急性胰腺炎严重程度进行临床分级,并将肾周间隙受累分级与急性胰腺炎的临床Ranson分级进行等级相关性统计学检验。结果急性胰腺炎时肾周间隙受累CT分级与Ranson分级的相关性系数等于0.575,差异具有统计学意义(P<0.01),两者呈正相关。结论急性胰腺炎时肾周间隙受累程度与临床严重程度Ranson分级呈正相关。肾周间隙受累程度在一定程度上可以作为评价急性胰腺炎严重程度的一个重要辅助指标。
Objective To investigate the correlation between the grading of perirenal space involvement and the clinical severity（Ranson criteria） in acute pancreatitis（AP）.Methods CT scanings and clinical data of 75 consecutive patients with AP were reviewed retrospectively.The involvement of perirenal space and clinical severity of AP were graded using perirenal space involvement criteria and Ranson criteria respectively.The grade of perirenal space involvement in AP was correlated with the grade of clinical severity criteria（Ranson criteria） with ranking test.Results The Spearman correlation coefficient of morphologic grade of perirenal space involvement with CT in AP correlated with clinical severity classified by Ranson criteria was 0.575（P ＆lt; 0.01）.Conclusion Perirenal space involvement in AP was positivley correlated with clinical severity（Ranson criteria）,so the perirenal space involvement could be chosen as an adjunctive criteria to evaluate thoroughly the range,degree and severity of the disease.
出处
《中国临床新医学》
2013年第3期234-236,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
急性胰腺炎
肾周间隙受累
临床严重程度
Acute pancreatitis
Perirenal space involvement
Clinical severity
