摘要
目的:探讨64排螺旋CT在诊断急性胰腺炎(AP)中的临床应用价值。方法:选择2015年1月-2016年6月右江民族医学院附属医院收治的95例患者,采用64排螺旋CT进行扫描检查,对影像学检查结果进行Balthazar CT分级诊断,并与临床BISAP评分结果进行对比分析。结果:CT分级诊断为轻症AP(MAP)主要集中在A^C级,占92.19%(59/64);中重症AP(MSAP)、重症AP(SAP)主要集中在D、E级,占96.77%(30/31)。临床BISAP评分为MAP占92.59%(50/54),主要集中在2分以下;MSAP、SAP占66.67%(28/42),主要集中在≥2分。CT分级和临床BISAP评分对AP的不同临床严重程度准确性对比,CT分级与临床BISAP评分对MAP诊断准确性比较,差异无统计学意义(P>0.05)。CT分级对MSAP/SAP诊断准确性高于临床BISAP评分,差异有统计学意义(P<0.05)。结论:CT分级对AP的诊断优于临床BISAP评分,能为临床早期评价AP严重程度提供准确影像学诊断依据,有利于临床制定个体化诊治措施和评估AP预后、减少病死率。
Objective:To discuss the clinical value of 64-slice CT in the diagnosis of acute pancreatitis.Method:From January 2015 to June 2016 treated in Youjiang National Medical School Affiliated Hospital,95 patients with acute pancreatitis were collected,with 64-slice CT,Balthazar CT grading diagnosis of imaging examination results,and compared with clinical BISAP score results were analyzed.Result:CT grading diagnosis of MAP were mainly concentrated in A-C level,accounted for 92.19%(59/64).MSAP,SAP was concentrated in D and E,accounted for 96.77%(30/31).For clinical BISAP score MAP accounted for 92.59%(50/54),mainly in 2 points below.MSAP,SAP was 66.67%(28/42),mainly concentrated in two or more points.CT grading and clinical BISAP score between different clinical severity accuracy of AP,CT grading and clinical BISAP score MAP diagnosis accuracy differences have no statistical significance(P>0.05).CT grading of MSAP/SAP diagnosis accuracy was higher than that of BISAP score,the difference was statistically significant(P<0.05).Conclusion:CT grading is better than that of clinical BISAP score to the diagnosis of AP,can provide early clinical evaluation of AP severity with accurate imaging diagnosis,for clinical setting indi idualized diagnosis and treatment measures and evaluating prognosis of AP,reducing mortality.
作者
黄远彬
韦波
赵贞翔
周焕权
HUANG Yuanbin;WEI Bo;ZHAO Zhenxiang(Traditional Chinese Medicine Hospital of Baise,Baise 533000,China)
出处
《中国医学创新》
CAS
2018年第6期92-96,共5页
Medical Innovation of China
