摘要
目的研究分析重症胰腺炎患者螺旋CT表现与血清炎症指标的相关性。方法选取2013年1月-2017年7月我院收治的128例重症胰腺炎患者作为研究对象,根据患者感染情况分为感染组与未感染组(各64例),分析两组重症胰腺炎患者螺旋CT成像与白细胞计数(WBC)、C-反应蛋白(CRP)、降钙素原(PCT)以及红细胞压积(HCT)等感染指标的相关性。结果感染组患者WBC、CRP、PCT以及HCT指标高于未感染组,Ranson评分明显低于未感染组患者,APACHE-Ⅱ明显高于未感染组患者,差异具有统计学意义(P<0.05)。感染组患者螺旋CT影像表现出胰腺体积增大、脂肪层模糊不清、单区域胰液潴留、多区域胰液潴留、气泡征以及片状坏死数明显高于未感染组,感染组患者细菌检出阳性数明显高于未感染组,差异具有统计学意义(P<0.05)。结论当重症胰腺炎患者合并感染时螺旋CT成像可见胰腺体积增大且伴胰腺脂肪层模糊不清及渗出、胰腺多区域组织坏死、胰液潴留以及出现气泡征;重症胰腺炎患者出现感染时,WBC、CRP、PCT以及HCT等感染指标会升高。
Objective To analyze the correlation between spiral CT imaging and serum inflammatory indicators in patients with severe pancreatitis.Methods A total of 128 patients with severe pancreatitis admitted in our hospital between January 2013 and July 2017 were divided into infection group and non-infection group (64 cases of each group).The correlation between Spiral CT imaging and the infection indicators of white blood cell count (WBC),C-reactive protein (CRP),procalcitonin (PCT) and hematocrit (HCT) was analyzed.Results The indicators of WBC,CRP,PCT and HCT of the infection group were higher than those of the non-infection group,and the Ranson score of the infection group was significantly lower than that of the non-infection group,the APACHE-II of the infection group was significantly higher than that of the non-infection group (P<0.05). The spiral CT imaging showed that the increased pancreas volume,the blurred fat layer, the pancreatic juice retention in a single region and multiple regions,the bubble sign as well as the plaque necrosis of the infection group were significantly higher than those of the non-infection group (P<0.05).The number of positive bacterial in the infection group was significantly higher than that in the non-infection group (P<0.05).Conclusion Spiral CT imaging indicates those features of increased pancreas volume,accompanied by blurred fat layer and leaking,the pancreas necrosis in multiple regions,the pancreatic juice retention,and the bubble sign in patients with acute pancreatitis complicated with concurrent infection.In patients with acute pancreatitis,as infection occurs.Infection indicators,such as WBC,CRP,PCT,and HCT will increase.
作者
冯浩
彭止戈
杨婧
刘洪兵
FENG Hao;PENG Zhi-ge;YANG Jing(Department of Radiology,First People's Hospital of Zigong City,Zigong 643000,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2019年第10期83-86,共4页
Chinese Journal of CT and MRI
关键词
重症胰腺炎
螺旋CT成像
血清炎症指标
相关性
Severe Pancreatitis
Spiral CT Imaging
Serum Inflammation Indicators
Correlation
