引用本文:彭晓容,黄育鑫,陈恩炎.急性胰腺炎累及肾周间隙与临床Ranson分级的相关性探讨[J].中国临床新医学,2013,6(3):234-236.
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急性胰腺炎累及肾周间隙与临床Ranson分级的相关性探讨
彭晓容,黄育鑫,陈恩炎
515300 广东,普宁市人民医院CT室
摘要:
[摘要] 目的 探讨急性胰腺炎时肾周间隙的受累分级与急性胰腺炎临床严重程度Ranson分级的相关性。方法 回顾性分析75例连续性急性胰腺炎患者的螺旋CT资料及临床资料,使用肾周间隙受累分级标准对肾周间隙受累进行CT影像分级,使用Ranson标准对急性胰腺炎严重程度进行临床分级,并将肾周间隙受累分级与急性胰腺炎的临床Ranson分级进行等级相关性统计学检验。结果 急性胰腺炎时肾周间隙受累CT分级与Ranson分级的相关性系数等于0.575,差异具有统计学意义(P<0.01),两者呈正相关。结论 急性胰腺炎时肾周间隙受累程度与临床严重程度Ranson分级呈正相关。肾周间隙受累程度在一定程度上可以作为评价急性胰腺炎严重程度的一个重要辅助指标。
关键词:  急性胰腺炎  肾周间隙受累  临床严重程度
DOI:10.3969/j.issn.1674-3806.2013.03.15
分类号:R 445
基金项目:
Correlative study of perirenal space involvement with Ranson criteria in acute pancreatitis
PENG Xiao-rong, HUANG Yu-xin, CHEN En-yan
Department of Radiology, Puning People’s Hospital, Guangdong 515300,China
Abstract:
[Abstract] Objective To investigate the correlation between the grading of perirenal space involvement and the clinical severity (Ranson criteria) in acute pancreatitis (AP).Methods CT scanings and clinical data of 75 consecutive patients with AP were reviewed retrospectively. The involvement of perirenal space and clinical severity of AP were graded using perirenal space involvement criteria and Ranson criteria respectively. The grade of perirenal space involvement in AP was correlated with the grade of clinical severity criteria (Ranson criteria) with ranking test.Results The Spearman correlation coefficient of morphologic grade of perirenal space involvement with CT in AP correlated with clinical severity classified by Ranson criteria was 0.575(P < 0.01).Conclusion Perirenal space involvement in AP was positivley correlated with clinical severity (Ranson criteria), so the perirenal space involvement could be chosen as an adjunctive criteria to evaluate thoroughly the range, degree and severity of the disease.
Key words:  Acute pancreatitis  Perirenal space involvement  Clinical severity