摘要
目的应用超声检查小网膜囊的肿胀程度,探讨其与急性胰腺炎APACHEⅡ评分的相关性。方法选取急性胰腺炎患者29例,应用超声测量其小网膜囊厚度,分析小网膜囊肿胀程度与APACHEⅡ评分的相关性。比较ICU患者与非ICU患者小网膜囊厚度和APACHⅡ评分的差异。结果 29例急性胰腺炎患者的小网囊膜厚度为(1.92±0.56)cm,APACHEⅡ评分为7.17±0.73。小网膜肿胀程度与APACHEⅡ评分呈正相关(r=0.780,P=0.022)。ICU患者的小网膜囊厚度为(3.63±0.85)cm,非ICU患者的小网膜囊厚度为(1.48±0.80)cm,两者比较差异有统计学意义(P=0.000)。ICU患者的APACHⅡ评分为13.50±6.72,非ICU患者的APACHⅡ评分为5.48±4.72,两者比较差异有统计学意义(P=0.000)。结论小网膜囊肿胀程度与APACHEⅡ评分显著相关,能够作为评价急性胰腺炎严重程度的客观指标。
Objective To investigate the correlation between thickening swollen lesser omental sac by ultrasonography and APACHEⅡscoring in acute pancreatitis.Methods Twenty-nine patients with acute pancreatitis were selected.The thickness of the lesser omental sac were measured by ultrasonography.The correlation between the swelling degree of lesser omental sac and APACHE Ⅱ score was analyzed.Differences in omental thickness and APACH Ⅱ scores between ICU patients and non-ICU patients were compared.Results The lesser omental sac thickness of 29 patients with acute pancreatitis was（1.92±0.56）cm and the APACHE Ⅱ score was 7.17 ± 0.73.The degree of omentum swelling was positively correlated with APACHE Ⅱ score（r=0.780,P=0.022）.The thickness of lesser omental sac in patients with ICU was（3.63±0.85）cm,while that in non-ICU patients was（1.48±0.80）cm,the difference was statistically significant（P=0.000）.The APACH Ⅱ score was 13.50±6.72 in ICU patients and5.48±4.72 in non-ICU patients,the difference was statistically significant（P=0.000）.Conclusion There is significant positive correlation between thickening swollen lesser omental sac by ultrasonography and APACHEⅡscoring in acute pancreatitis.It could be used as an indicator to evaluate the severity of acute pancreatitis.
出处
《临床超声医学杂志》
2018年第2期124-126,共3页
Journal of Clinical Ultrasound in Medicine
