Wu Jingtao, Zhu Qingqiang, Zhu Wenrong, Chen Wenxin, Wang Shouan
Department of Radiology, People's Hospital of Subei,Yangzhou 225001, China. Email:
Department of Radiology, People's Hospital of Subei,Yangzhou 225001, China.
Zhonghua Yi Xue Za Zhi. 2014 Nov 25;94(43):3378-81.
To explore the computed tomographic (CT) imaging features of abdominal compartment syndrome (ACS) complicated by severe acute pancreatitis (SAP) to improve the diagnosis of disease.
Thirty-six cases of ACS and 61 cases of non-ACS (NACS) complicated by SAP were studied retrospectively. And the meaningful CT features were studied.
Among them, the ACS vascular complications of abdominal cavity and gastrointestinal bleeding were found significantly more in ACS than in NACS (P < 0.05). The ACS intestinal obstruction occurred significantly more often in ACS than in NACS (P < 0.05). The ACS inferior vena cava pressure, diaphragm elevation, round belly sign and marked seroperitoneum occurred significantly more often in ACS than in NACS (P < 0.05). The score of ACS with Balthazar was higher than that of NACS (P < 0.05). For CT signs associated with ACS, four or more associated with ACS CT characteristics, the diagnostic sensitivity was 96.5%. And the specificity, positive predictive value and negative predictive value were 100%, 100% and 87.5% respectively. And the surgical survival rate was significantly higher than the non-surgical survival (P < 0.05).
A comprehensive analysis CT features of ACS is important for early diagnosis and guiding treatment.
探讨腹部间隔室综合征（ACS）合并重症急性胰腺炎（SAP）的计算机断层扫描（CT）影像特征，以提高疾病诊断水平。
回顾性研究36例ACS合并SAP患者及61例非ACS（NACS）合并SAP患者，并研究有意义的CT特征。
其中，ACS组腹腔血管并发症及胃肠道出血明显多于NACS组（P<0.05）。ACS组肠梗阻发生率明显高于NACS组（P<0.05）。ACS组下腔静脉压力升高、膈肌抬高、圆腹征及大量腹腔积液发生率明显高于NACS组（P<0.05）。ACS组Balthazar评分高于NACS组（P<0.05）。对于与ACS相关的CT征象，4项或更多项与ACS CT特征相关时，诊断敏感性为96.5%。特异性、阳性预测值和阴性预测值分别为100%、100%和87.5%。手术生存率明显高于非手术生存率（P<0.05）。
综合分析ACS的CT特征对早期诊断及指导治疗具有重要意义。
