Pandey L, Milićević M, Grbić R, Bulajić M, Krstić R, Golubović G, Ananijević-Pandey J
Acta Chir Iugosl. 1997;44-45(1-1):63-7.
The authors asses the accuracy and role of early ultrasound examination in staging the severity of acute pancreatitis. A total of 110 consecutive patients with acute pancreatitis were included into the study. The ultrasound findings were categorized into six categories and compared with a modification of multiple prognostic criteria, computerized tomography, operative findings (when available) and clinical outcome. The probability of a positive ultrasound finding in a patient with clinically severe acute pancreatitis was 89.6% (sensitivity). In comparison to computerized tomography the sensitivity of ultrasound in discovering CT diagnosed moderate and severe forms of acute pancreatitis was 86.6%. The sensitivity of ultrasound in discovering moderate and severe forms of acute pancreatitis as defined at laparotomy was 77.8%. The specificity of ultrasound was low (44.0%) in comparison with modified prognostic criteria, but high in comparison with computerized tomography (87.5%) and staging at laparotomy (85.7%). There was a good correlation between US defined moderate and severe forms of acute pancreatitis and clinical outcome (average number of hospital days and case fatality). The authors conclude that early ultrasound examination in acute pancreatitis is indicated and can help stage the severity of the disease and affect decision making.
作者评估了早期超声检查在急性胰腺炎严重程度分期中的准确性及作用。共有110例连续的急性胰腺炎患者纳入本研究。超声检查结果分为六类，并与改良的多项预后标准、计算机断层扫描、手术所见（若有）及临床结局进行比较。临床重度急性胰腺炎患者超声检查结果为阳性的概率为89.6%（敏感性）。与计算机断层扫描相比，超声发现计算机断层扫描诊断为中度和重度急性胰腺炎的敏感性为86.6%。超声发现剖腹手术时定义的中度和重度急性胰腺炎的敏感性为77.8%。与改良预后标准相比，超声的特异性较低（44.0%），但与计算机断层扫描（87.5%）和剖腹手术分期（85.7%）相比则较高。超声定义的中度和重度急性胰腺炎与临床结局（平均住院天数和病死率）之间存在良好的相关性。作者得出结论，急性胰腺炎早期超声检查是必要的，有助于对疾病严重程度进行分期并影响决策。
