The diagnostic and prognostic value of CT scans in patients with acute pancreatitis complications

VernacularTitle:CT平扫对急性胰腺炎及并发症诊断和预测预后的价值
Author: Wei HAN ; Jun YAN ; Jian WANG ; Tie WEN ; Lijie BAI ; Xiaoqi HUANG ; Xia WANG ; Xing JI
Keywords: acute pancreatitis; complications; computed tomography
From: Journal of Practical Radiology 2017;33(8):1205-1208
CountryChina
Language:Chinese
Abstract: Objective To analyze the diagnosis and prognosis value of abdominal CT scans in patients with acute pancreatitis complications.Methods 151 cases with acute pancreatitis were selected.The relationship between abdominal CT performances and the common complications and death in patients was analyzed.The prognosis of patients with different Balthazar CT severity index (CTSI) grade was compared.Results The complication rate of patients with CT signs of fatty liver, pleural effusion, liver gap effusion, adrenal gland involvement (AGI), penirenal space involvement (PSI) and gastric bare area involvement (GBAI) was significantly higher than that of patients with negative CT findings above (P<0.05).With CTSI grading increasing, the patient''s fasting time, heating time, hospital stay, recovery time of blood amylase were extended, and the incidence of pseudo cyst, transit surgery, organ failure and death was gradually increasing (P<0.05).Conclusion Severe fatty liver, AGI, GBAI, PSI and liver gap effusion are risk factors for acute complications and death in patients with pancreatitis.