岭南现代临床外科2024，Vol.24Issue(2)：87-92,6.DOI:10.3969/j.issn.1009-976X.2024.02.001
急性胰腺炎左上腹积液与脾脏并发症相关性的影像学研究
The association between the fluid collections of left upper abdomen and splenic complications in acute pancreatitis by radiological study
摘要
Abstract
Objective The correlations between fluid collections at different areas of left upper abdo-men and the risk factors of developing to splenic complications in acute pancreatitis(AP)were analyzed on the basis of radiology.Methods CT or MRI images of 236 patients with the AP admitted to the general hospital of western theater command from January 2018 to December 2022 were collected.The correla-tions of pancreatic fistula in the tail(PFIT),pseudocysts in lesser sac(PILS)and fluid collections in left anterior renal fascia with different kinds of splenic complications were evaluated with the chi-squared test using odds ratio(OR)on radiological images.BISAP scores between patients with three aforemen-tioned fluid collections of left upper abdomen and their controls were compared by two independent sample t-tests,respectively.Results The PFIT correlated postively with the pseudocyst of splenic hilum(OR=2.714,P＜0.001),splenic infarction(OR=9.970,P＜0.001),subcapsular fluid collections(OR=10.903,P＜0.001),splenic rupture(OR=20.576,P＜0.001)and the sinistral portal hypertation(SPH)(OR=6.524,P＜0.001),respectively.In contrast,the PILS correlatednegatively withthe pseudocyst of splenic hilum(OR=0.471,P=0.01),splenic infarction(OR=0.316,P=0.010),subcapsular fluid collections(OR=0.512,P=0.032),splenic rupture(OR=0.092,P＜0.001)and the SPH(OR=0.492,P=0.009),respectively.The BISAP score in patients with the PILS and its controls was 0.511±0.723 vs 1.828±1.050(P＜0.001).Conclusion The presence of a PFIT and PILS were important risk factor for a protective factor against splenic complications,respectively.Moreover,the presence of the PILS may decrease the risk of AP patients to develop to the severe acute pancreatitis(SAP).关键词
胰周积液/网膜囊/脾脏并发症/假性囊肿/BISAP评分Key words
peripancreatic fluid collections/lesser sac/splenic complication/pseudocyst/BISAP score分类
医药卫生引用本文复制引用
徐浩铜,何明静,徐万宇,杨粤,田伏洲..急性胰腺炎左上腹积液与脾脏并发症相关性的影像学研究[J].岭南现代临床外科,2024,24(2):87-92,6.基金项目
国家重点研发计划项目子课题(2018YFC0116901) （2018YFC0116901）
