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目的探讨急性胰腺炎(acute pancreatitis,AP)对脾和脾周受累的螺旋CT(Spiral CT,SCT)表现以及这些并发症与重症胰腺炎的临床相关性方法收集我院AP病人205例,观察AP对脾周积液、脾梗死、脾包膜下积液和脾血管受累SCT表现结果(1)脾周积液145例,其中重症AP65例;脾梗死7例,脾包膜下积液6例,脾静脉狭窄或受压23例,脾静脉栓塞4例;(2)无脾内假性囊肿或脓肿以及脾动脉瘤形成结论(1)重症AP常累及脾和脾周结构产生并发症,这些并发症与重症AP之间有临床相关性(P<0.05);(2)SCT可作为脾和脾周并发症的随访检查手段
Objective To investigate the clinical manifestations of splenic and splenic involvement of Spiral CT (SCT) in patients with acute pancreatitis (AP) and to explore the relationship between these complications and severe pancreatitis. Methods 205 AP patients in our hospital were collected and AP Splenic effusion, splenic infarction, splenic subpleural effusion and splenic vascular involvement SCT results (1) 145 cases of splenic effusion, including severe AP65 cases; 7 cases of splenic infarction, subpleural effusion in 6 cases , Splenic vein stenosis or compression in 23 cases, 4 cases of splenic vein thrombosis; (2) no spleen pseudocyst or abscess and formation of splenic aneurysm Conclusion (1) severe AP often involve complications of spleen and spleen structure, these There was a significant correlation between complications and severe AP (P <0.05). (2) SCT could be used as a follow-up examination of complications of spleen and spleen