nlwxpearo
Joined: 13 Dec 2010
Posts: 520
Read: 0 topics
Warns: 0/5
Location: England
|
 Posted: Sat 22:31, 19 Mar 2011 Post subject: CT of acute necrotizing pancreatitis in the classi |
|
|
CT of acute necrotizing pancreatitis classification and prognosis
Necrosis, pancreatic foreign invasion, and necrosis of infected pancreatic ascites can be used as prognostic parameters,[link widoczny dla zalogowanych], with specificity, can be obtained only through surgery. Balthazar [6 with the classification method, 83 cases of acute pancreatitis CT analysis, through the pancreatic parenchyma and external pancreatic necrosis without infection, the acute pancreatitis were divided into five, in order to estimate the prognosis of ANP, despite the important clinical significance , but only 22 cases confirmed by surgery, the lack of representation. 1Z2 patients in this group,[link widoczny dla zalogowanych], in addition to the class I without a surgery in 19 cases,[link widoczny dla zalogowanych], the rest were confirmed by surgery. CT shows substantial and pancreatic necrosis and pancreatic surgery seen outside the violations and the location and degree of basically the same. Preoperative CT examination, to accurately understand the situation of pancreatic and peripancreatic necrosis, extension of the gap, help the surgeon in determining the prognosis of the disease and to determine the right treatment plays an important role in the treatment of the current principles of ANP : low-density focal necrosis, infection and the significant investment and complications,[link widoczny dla zalogowanych], considered for non-surgical treatment or peritoneal lavage, when the lesions expand, infection and disease progression can be used for the case of late surgery]. 4.2CT classified retrospective analysis of the value of 12g down by cases of ANP and the results, I, I class on admission in patients with infections and complications, if no, only for non-surgical treatment, or irrigation, to spend the and CT follow-up according to the disease] sometimes in the CT-guided fine needle aspiration smear culture, to determine whether the infection. See the end of the pancreatic parenchyma was significantly increased necrotic tissue, in the absence of infection, does not need surgery and spontaneous absorption. When the pancreatic parenchyma and peripancreatic necrotic tissue when infection must be treated surgically. Some of pancreatic necrosis and small focal necrosis of the pancreatic parenchyma. The performance of CT may be obvious, this does not mean that no surgical treatment j. Class Ⅲ patients have more serious complications. Often require multiple operations and high mortality. The group of 25 patients, 14 patients died, accounting for 56. Class Ⅳ patients, severe pancreatic necrosis, peripancreatic violated a wide range of complications and serious. The group of 6 patients were trapped combined ARDs and MOF and death. Thus, the performance of the ANP by CT preoperative classification correct for clinical treatment formulated to provide a strong basis,[link widoczny dla zalogowanych], and they are more closely related to prognosis. 5
The post has been approved 0 times
|
|
