急性胰腺炎相关性肺损伤的CT表现

摘要

目的 探讨急性胰腺炎(AP)相关性肺损伤(APALI)的CT表现.资料与方法 102例AP患者根据亚特兰大临床分类标准分为轻症急性胰腺炎(MAP)和重症急性胰腺炎(SAP),分析APALI的发生情况及CT表现,并进行CT形态学分级评分,分析APALI的CT形态学分级评分与AP严重程度临床分级评分的相关性.结果 102例AP共发生APALI 71例,其中MAP 41例,SAP 30例.APALI的CT表现包括:33例CT表现为胸腔积液、积血,胸膜增厚；18例出现肺内条索状或网格状影;20例出现肺内磨玻璃状模糊影或斑片状实变影；APALI的CT形态学分级评分与AP严重程度临床分级评分呈正相关(r=0.314,P＜0.05).结论 APALI的CT表现为胸腔积液、积血,胸膜增厚;肺内条索状或网格状影;肺内磨玻璃状模糊影或斑片状实变影；CT形态学分级评分与AP严重程度临床分级评分具有一定的相关性,可作为判断AP病情严重程度的影像学参考依据.%Purpose To explore the CT manifestations of acute pancreatitis (AP) associated lung injury (APALI).Materials and Methods According to the Atlanta clinical standard,102 cases of AP patients were divided into mild acute pancreatitis (MAP) and severe acute pancreatitis (SAP),the occurrence performance and the CT manifestations of APALI were analyzed,and CT morphological grading was also performed,the relevance between CT morphological grade and the AP severity clinical grading score was analyzed.Results In the total 102 AP cases,there were 71 cases of APALI,of which 41 were MAP and 30 were SAP.CT manifestations of APLAI included:33 cases of pleural effusion,hemothorax and pleural thickening; 18 cases appear as cord-like or grid-like shadow within the lung; 20 cases with the appearance of ground glass shadow or patchy consolidation shadow within the lung.CT morphology rating grade of APLAI was positively correlated (r=0.314,P＜0.05) with AP severity clinical grading score.Conclusion CT manifestations of APLAI include pleural effusion,hemothorax and pleural thickening; cord-like or gridlike shadow within the lung; ground glass shadow or patchy consolidation shadow within the lung.CT morphology rating grade has a certain correlation with AP severity clinical grading score and can be used as an imaging reference to judge the severity of AP.