MSCT结合CTSI评分对急性胰腺炎的早期诊断价值

摘要

目的：探讨MSCT结合计算机断层扫描严重程度指数(CTSI)评分对急性胰腺炎的早期诊断和预后评估价值。方法收集本院2007年1月至2011年9月收治的62例急性胰腺炎患者的病史资料。其中男性27例，女性35例，年龄39~65岁，平均(49.8±4.3)岁，所有患者均行对比增强CT检查并行CTSI评估。应用SPSS17.0进行统计分析。结果根据CTSI评分标准，本组轻度、中度、重度胰腺炎分别占32.3%(20例)、43.5%(27例)、24.2%(15例)。三组患者严重并发症发生率分别为5.0%(1例)、37.0%(10例)、73.3%(11例)，疾病死亡率分别为0(0例)、3.7%(1例)、20.0%(3例)。结论 MSCT检查可用于辅助急性重症胰腺炎早期诊断，结合CTSI评分系统能更加合理判断病情指导临床治疗。%Objective To explore the value of multi-slice spiral CT (MSCT) combined with CT Severity Index (CTSI) in the early diagnosis and prognosis of acute pancreatitis. Methods The clinical data of 62 patients with acute pancreatitis in our hospital from January 2007 to September 2011 were collected, including 27 males and 35 females, with the mean age of (49.8±4.3) years old (ranged from 39 to 65 years old). All the patients underwent contrast-enhanced computed tomography (CT) and CTSI. SPSS17.0 software was used for statistical analysis. Results According to CT-SI, the severity of acute pancreatitis was classified into three groups: mild (20 cases, 32.3%), moderate (27cases,43.5%), severe (15 cases, 24.2%). The incidence of serious complications in the three groups were 5.0% (1 case), 37.0%(10 cases), 73.3%(11 cases), respectively, and the mortality were 0.0%(none), 3.7%(1 case), 20.0%(3 cases), respectively. Conclusion MSCT is useful in the early diagnosis of acute pancreatitis, and its combination with CTSI may better assist the evaluation of the stage of illness.