Value of CT Grading Diagnosis in Clinical Therapy of Acute Pancreatitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YE Jian ¹ ,  MO Xianbin ²

1.Department of CT, Guanghan People’s Hospital, Guanghan 618300， Sichuan Province, China;;
2.Department of Radiology, Sichuan Province Science City Hospital, Mianyang 621900, Sichuan Province, China;

Corresponding author：

MO Xianbin, Email: moxianbin@yahoo.com.cn

Keywords：

Acute pancreatitis; Tomography/X-ray computed; Grading diagnosis

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the value of CT grading diagnosis in clinical therapy of acute pancreatitis. Methods CT scanning was carried out in patients with acute pancreatitis between 2003 and 2009, and Enhancement CT scanning was carried out in patients without contraindications of contrast medium. Two radiologists analyzed the images and made CT grading diagnose. Contrast study was made between CT grading diagnose and clinical scale as well as prognosis. Results In 518 cases, the CT grading was as the following: grade A 9 cases, grade B 66 cases, grade C 105 cases, grade D 147 cases, and grade E 191 cases. Patients with grade A and B were fully recovered after conservation and supportive treatment. In cases of grade C, only 2 patients had recurred pancreatitis after conservation treatment, and others were fully healing. Ninety-four patients who needed operation and 23 patients who died were all occurred in grade D and E. Conclusion CT grading diagnosis of acute pancreatitis can reflect the range, extent, and course of disease, and it has good dependablity with clinical grading.

Citation： YE Jian ,MO Xianbin. Value of CT Grading Diagnosis in Clinical Therapy of Acute Pancreatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(12): 1322-1325. doi: Copy

1.	Banks PA. Practice guidelines in acute pancreatitis [J]. Am J Gastroenterology, 1997; 92（3）: 377-386.
2.	Forsmark CE, Toskes PP. Acute pancreatitis. Medical management [J]. Crit Care Clin, 1995; 11（2）: 295-309.
3.	邱德正, 雷益, 陈志刚, 等. 急性胰腺炎的MRI诊断 [J]. 实用放射学杂志, 2005; 21（2）: 147-149.
4.	Schmid SW, Uhl W, Freiss H, et al. The role of infection in acute pancreatitis [J]. Gut, 1999; 45（2）: 311-316.
5.	廖家智摘译, 王家駹审校. 美国急性胰腺炎临床指南（诊断部分） [J]. 临床内科杂志, 2007; 24（3）: 210-213.
6.	刘续宝, 刘荣波. 急性胰腺炎-CT在重症急性胰腺炎评估中的作用 [J]. 临床外科杂志, 2003; 11（6）: 370-371.
7.	中华医学会外科学分会胰腺外科学组. 重症急性胰腺炎诊治草案 [J]. 中华消化杂志, 2006; 21（10）: 622-623.
8.	刘溢, 谢敬霞. 急性胰腺炎的CT诊断评价 [J]. 中国医学影像技术, 2001; 17（2）: 116-118.
9.	Balthazar EJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation [J]. Radiology, 2002; 223(3): 603-613.
10.	宋军, 徐三平, 侯小华. 急性胰腺炎处理指南 [J]. 临床消化病杂志, 2002; 14（3）: 130-134.
11.	中华医学会消化病学分会胰腺疾病学组. 中国急性胰腺炎诊治指南（草案） [J]. 中华消化杂志, 2004; 24（3）: 190-192.
12.	Bradley EL 3rd. A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13， 1992 [J]. Arch Surg， 1993; 128(5): 586-590.
13.	严志汉, 闵鹏秋, 宋彬，等. 急性胰腺炎累及肾旁后间隙与其临床严重程度及CT严重指数的相关性研究 [J]. 中华放射学杂志, 2005; 39（4）: 375-378.
14.	Mortelé KJ, Mergo PJ, Taylor HM, et al. Renal and perirenal space involvement in pancreatitis： spiral CT findings [J]. Abdom Imaging, 2000; 25（3）: 272-278.
15.	闵鹏秋. 急性胰腺炎病变及其扩散途径的CT表现 [J]. 中国医学计算机成像杂志, 2002; 8（4）: 238-242.
16.	Bradley EL 3rd. A clinically based classification system for acute pancreatitis [J]. Ann Chir, 1993; 47（6）: 537-541.
17.	刘文娟, 张翔, 董鹏, 等. 急性胰腺炎累及横结肠系膜的MDCT表现及其解剖学基础 [J]. 医学影像学杂志, 2009; 19（4）: 469-471.
18.	姚沛旭, 许建生, 陈卫鹏. 急性胰腺炎肾周间隙受累CT表现及在临床严重程度分型中的价值 [J]. 医学影像学杂志, 2009; 19（5）: 564-566.
19.	Balthazar EJ. Complications of acute pancreatitis: clinical and CT evaluation [J]. Radiol Clin North Am, 2002; 40（6）: 1211-1227.
20.	Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis: value of CT in establishing prognosis [J]. Radiology, 1990; 174（2）: 331-336.
21.	梁伟雄. 急性胰腺炎常见并发症的进展 [J]. 中华全科医学, 2009; 7(1): 87-88.
22.	宋彬, 闵鹏秋, 何之彦. 急性胰腺炎病变范围与临床分级相关性的探讨 [J]. 中国医学影像学杂志, 1994; 2（3）: 163-169.
23.	王芝文, 吕文涛, 安维新, 等. 急性胰腺炎的CT分级诊断（附68例分析） [J]. 中国医学影像学杂志, 2006; 14（3）: 228-231.
24.	陈喜中, 韩静. 16层螺旋CT对急性胰腺炎累及肾周间隙的诊断 [J]. 江苏医药, 2008; 34（7）: 690-691.

1. Banks PA. Practice guidelines in acute pancreatitis [J]. Am J Gastroenterology, 1997; 92（3）: 377-386.
2. Forsmark CE, Toskes PP. Acute pancreatitis. Medical management [J]. Crit Care Clin, 1995; 11（2）: 295-309.
3. 邱德正, 雷益, 陈志刚, 等. 急性胰腺炎的MRI诊断 [J]. 实用放射学杂志, 2005; 21（2）: 147-149.
4. Schmid SW, Uhl W, Freiss H, et al. The role of infection in acute pancreatitis [J]. Gut, 1999; 45（2）: 311-316.
5. 廖家智摘译, 王家駹审校. 美国急性胰腺炎临床指南（诊断部分） [J]. 临床内科杂志, 2007; 24（3）: 210-213.
6. 刘续宝, 刘荣波. 急性胰腺炎-CT在重症急性胰腺炎评估中的作用 [J]. 临床外科杂志, 2003; 11（6）: 370-371.
7. 中华医学会外科学分会胰腺外科学组. 重症急性胰腺炎诊治草案 [J]. 中华消化杂志, 2006; 21（10）: 622-623.
8. 刘溢, 谢敬霞. 急性胰腺炎的CT诊断评价 [J]. 中国医学影像技术, 2001; 17（2）: 116-118.
9. Balthazar EJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation [J]. Radiology, 2002; 223(3): 603-613.
10. 宋军, 徐三平, 侯小华. 急性胰腺炎处理指南 [J]. 临床消化病杂志, 2002; 14（3）: 130-134.
11. 中华医学会消化病学分会胰腺疾病学组. 中国急性胰腺炎诊治指南（草案） [J]. 中华消化杂志, 2004; 24（3）: 190-192.
12. Bradley EL 3rd. A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13， 1992 [J]. Arch Surg， 1993; 128(5): 586-590.
13. 严志汉, 闵鹏秋, 宋彬，等. 急性胰腺炎累及肾旁后间隙与其临床严重程度及CT严重指数的相关性研究 [J]. 中华放射学杂志, 2005; 39（4）: 375-378.
14. Mortelé KJ, Mergo PJ, Taylor HM, et al. Renal and perirenal space involvement in pancreatitis： spiral CT findings [J]. Abdom Imaging, 2000; 25（3）: 272-278.
15. 闵鹏秋. 急性胰腺炎病变及其扩散途径的CT表现 [J]. 中国医学计算机成像杂志, 2002; 8（4）: 238-242.
16. Bradley EL 3rd. A clinically based classification system for acute pancreatitis [J]. Ann Chir, 1993; 47（6）: 537-541.
17. 刘文娟, 张翔, 董鹏, 等. 急性胰腺炎累及横结肠系膜的MDCT表现及其解剖学基础 [J]. 医学影像学杂志, 2009; 19（4）: 469-471.
18. 姚沛旭, 许建生, 陈卫鹏. 急性胰腺炎肾周间隙受累CT表现及在临床严重程度分型中的价值 [J]. 医学影像学杂志, 2009; 19（5）: 564-566.
19. Balthazar EJ. Complications of acute pancreatitis: clinical and CT evaluation [J]. Radiol Clin North Am, 2002; 40（6）: 1211-1227.
20. Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis: value of CT in establishing prognosis [J]. Radiology, 1990; 174（2）: 331-336.
21. 梁伟雄. 急性胰腺炎常见并发症的进展 [J]. 中华全科医学, 2009; 7(1): 87-88.
22. 宋彬, 闵鹏秋, 何之彦. 急性胰腺炎病变范围与临床分级相关性的探讨 [J]. 中国医学影像学杂志, 1994; 2（3）: 163-169.
23. 王芝文, 吕文涛, 安维新, 等. 急性胰腺炎的CT分级诊断（附68例分析） [J]. 中国医学影像学杂志, 2006; 14（3）: 228-231.
24. 陈喜中, 韩静. 16层螺旋CT对急性胰腺炎累及肾周间隙的诊断 [J]. 江苏医药, 2008; 34（7）: 690-691.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Value of CT Grading Diagnosis in Clinical Therapy of Acute Pancreatitis

Abstract Full text Figures/Tables Video References Cited by

Format

Content