Zhonghua yi xue za zhi · 2014
[Computed tomographic features of abdominal compartment syndrome complicated by severe acute pancreatitis].
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Wu Jingtao, Zhu Qingqiang, Zhu Wenrong, Chen Wenxin, Wang Shouan
Аннотация
OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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).
CONCLUSION: A comprehensive analysis CT features of ACS is important for early diagnosis and guiding treatment.
METHODS: 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.
RESULTS: 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).
CONCLUSION: A comprehensive analysis CT features of ACS is important for early diagnosis and guiding treatment.