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Correlative study of left subphrenic fat infiltration with clinical-imageological staging in acute pancreatitis
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1005-1201.2002.10.007
- Key Word:
- 胰腺炎;胰腺炎,急性坏死性;脂肪组织;体层摄影术,X线计算机
Abstract： 目的探究左膈下脂肪浸润(left subphrenic fat infiltration, LSFI)与急性胰腺炎(acute pancreatitis, AP)病情严重程度的相关性.方法对能用Ranson、Balthazar标准进行分级的连续性AP病例(分别为144例、188例)进行了回顾性的研究,对每例进行分级,并观测记录各病例的LSFI厚度,将3 mm以内的定为LSFI阴性,厚度记为0.然后分别作每一例LSFI厚度与Ranson及Balthazar分级的等级资料的相关分析.结果 Ranson临床分级1～3级中LSFI出现率分别为30.86%, 54.90%及75.00%,LSFI厚度与Ranson分级的等级相关系数为0.417 9,P<0.01;Balthazar CT分级A～E级中LSFI出现率分别为0,0,31.52%,71.05%及80.76%,LSFI厚度与Balthazar分级的等级相关系数为0.630 1,P<0.01. 结论 LSFI厚度与Ranson评分及Balthazar分级均呈显著正相关关系,可一定程度反映临床病变的严重程度及其扩展的范围.
- [1]C. W. Imrie,I. S. Benjamin,J. C. Ferguson,etc.A single-centre double-blind trial of Trasylol therapy in primary acute pancreatitis[J].1978,65(5).
- [2]T, Takada,H, Yasuda,K, Uchiyama,etc.[CT findings and CT score in acute pancreatitis compared its with severity].[J].1986,46.
- [3]E J Balthazar,J H Ranson,D P Naidich,etc.Acute pancreatitis: prognostic value of CT.[J].1985,156(3).
- [4]John H.C. Ranson,Bernard S. Pasternack.Statistical methods for quantifying the severity of clinical acute pancreatitis[J].1977,22(2).
- [5]E J, Balthazar.CT diagnosis and staging of acute pancreatitis.[J].1989,27.
- [6]W A, Knaus,E A, Draper,D P, Wagner,etc.APACHE II: a severity of disease classification system.[J].1985,13.
- [7]E J Balthazar,D L Robinson,A J Megibow,etc.Acute pancreatitis: value of CT in establishing prognosis.[J].1990,174(2).
- [8]J H, Ranson.Etiological and prognostic factors in human acute pancreatitis: a review.[J].1982,77.
- [9]Plerre-Alain Clavien,Hermann Hauser,Pierre Meyer,etc.Value of contrast-enhanced computerized tomography in theearly diagnosis and prognosis of acute pancreatitis: A prospective study of 202 patients[J].1988,155(3).