摘要
目的 探讨CT检查在评估急性胰腺炎的严重程度和预后方面的作用。方法 回顾 1994- 2 0 0 0年我院住院急性胰腺炎 (AP)患者 185例 ,按Balthazar标准对CT扫描结果进行评分 ,计算CT严重指数 (CTSI) ,比较CTSI与死亡率、住院时间以及需要手术治疗之间的关系。结果 CTSI与死亡率、住院时间以及需要手术治疗均密切相关(P <0 .0 5～ 0 .0 0 5 ) ,CTSI >5的病人死于AP的可能比CTSI<5的病人大 9倍 ,延长住院时间的可能比CTSI <5的病人大 35倍 ,需要手术治疗的可能比CTSI <5的病人大 15倍。
Objective To explore the relationship between computed tomography severity index(CTSI) and prognosis of severe pancreatitis. Methods We performed a retrospective review of 185 patients admitted to our hospital from 1994 to 2000 with a diagnosis of acute pancreatitis. The CTSI of acute pancreatitis was calculated by Balthazar criterion, at the same time the death rate, time of hospitalization, and need for necrosectomy were measured. Their relationships were compared one another. Results CTSI significantly correlated with death, prolonged hospital stay and need for necrosectomy ( P <0.05-0.005). Patients with CTSI >5 were 9 times more likely to die, 35 times more likely to have a prolonged hospital course, and 15 times more likely to undergo necrosectomy than their counterparts with CTSI<5. Conclusion CTSI plays an important role in evaluating the severity degree and prognosis of acute pancreatitis.
出处
《中国医学影像技术》
CSCD
2001年第12期1195-1196,共2页
Chinese Journal of Medical Imaging Technology
关键词
胰腺炎
预后
急性病
CT
Pancreatitis
Prognosis
Tomography, X ray computed
Acute disease
