摘要
目的探讨不同严重程度急性胰腺炎(AP)患者炎症状态和多层螺旋CT(MSCT)表现。方法回顾性分析2016年5月-2018年5月我院收治的68例AP患者的临床资料。根据AP严重程度分级将患者分为轻症急性胰腺炎组(MAP组,41例)和重症急性胰腺炎组(SAP组,27例),另选择同时期健康体检者20例作为对照组。3组受试者均接受MSCT检查,记录CT分级情况,比较3组受试者血清C反应蛋白(CRP)、血清淀粉酶(AMY)和尿淀粉酶(UAMY)水平差异。结果MAP组、SAP组血清CRP水平均高于对照组,且SAP组﹥MAP组(P﹤0.05);MAP组、SAP组AMY、UAMY水平均高于对照组(P﹤0.05),组间比较差异无统计学意义(P﹥0.05);BalthazarCT表现A级、B级、C级、D级、E级各8、15、20、20、5例。结论SAP患者炎症状态严重于MAP,其相应CT表现也存在明显差异,可作为病情评估的重要依据。
Objective To explore the inflammatory status and multi-slice spiral CT (MSCT) performance in patients with acute pancreatitis (AP) of different severity.Methods The clinical data of 68 patients with AP admitted to our hospital from May 2016 to May 2018 were analyzed retrospectively.According to the severity of AP,the patients were divided into mild acute pancreatitis group (MAP group,41 cases) and severe acute pancreatitis group (SAP group,27 cases).And another 20 healthy examiners at the same time were selected as control group.All the three groups were given MSCT examination,and the CT classification was recorded.The levels of serum C-reactive protein (CRP),serum amylase (AMY) and urinary amylase (UAMY) were compared among the three groups. Results The serum CRP level in MAP group and SAP group was higher than that in control group,and the level in SAP group was higher than that in MAP group (P<0.05). The levels of AMY and UAMY in MAP group and SAP group were higher than those in control group (P<0.05),and there was no statistically differences (P>0.05).The cases of grades A,B,C,D and E of Balthazar CT score were 8,15,20,20 and 5.Conclusion The inflammatory status of SAP patients is significantly worse than that of MAP patients.There are also significant differences in CT performance,which can be used as important basis for disease assessment.
作者
朱秀英
吴清武
陈希妍
吴畏
李广鹏
张江波
ZHU Xiu-ying;WU Qing-wu;CHEN Xi-yan(First Affiliated Hospital of Xinxiang Medical College,Xinxiang 453100,Henan Province,China)
出处
《中国CT和MRI杂志》
2019年第6期95-97,共3页
Chinese Journal of CT and MRI
