高脂血症急性胰腺炎与胆源性急性胰腺炎患者的CT特征比较

顾燕萍; 朱峰

doi:10.12025/j.issn.1008-6358.2025.20250365

高脂血症急性胰腺炎与胆源性急性胰腺炎患者的CT特征比较

顾燕萍,
朱峰

Comparison of CT features between hyperlipidemic acute pancreatitis and acute biliary pancreatitis

摘要

摘要:
目的比较高脂血症急性胰腺炎（hyperlipidemic acute pancreatitis，HLAP）与胆源性急性胰腺炎（acute biliary pancreatitis，ABP）的CT影像特征。
方法回顾性选择2018年1月至2019年12月同济大学附属东方医院收治的HLAP患者66例和ABP患者96例，收集其临床资料并比较两组的CT影像学特征。
结果 HLAP组和ABP组临床资料和不同CT分级（A～E级）构成比差异有统计学意义（P＜0.01）。ABP组58.3%患者表现为胰腺体尾部肿胀渗出，16.7%为全胰腺肿胀渗出，单独表现为胰腺头颈部肿胀渗出的患者较少（3.1%）；HLAP则主要表现为全胰腺肿胀及胰周渗出（48.5%），39.4%累及胰腺头颈部，12.1%单独表现为胰腺体尾部肿胀渗出。
结论 HLAP与ABP患者的CT表现上存在显著差异，提示CT检查能指导临床早期精准诊治急性胰腺炎。

Abstract:
Objective To analyze the difference of CT features between hyperlipidemic acute pancreatitis (HLAP) and acute biliary pancreatitis (ABP).
Methods Retrospective analysis was performed on 66 HLAP patients and 96 ABP patients admitted to East Hospital Affiliated to Tongji University from January 2018 to December 2019. The clinical data and CT features of patients between the two groups were compared.
Results There were statistically significant differences in the clinical data and CT grades (A-E) between the HLAP group and the ABP group (P＜0.01). ABP group showed more swelling and effusion in pancreatic body and tail (58.3%), 16.7% of swelling and effusion in whole pancreas, but rare swelling and effusion located in pancreatic head and neck alone (3.1%). The HLAP group showed more swelling and effusion in whole pancreas (48.5%), 39.4% of swelling and effusion in pancreatic head and neck, but rare swelling and effusion located in pancreatic body and tail alone (12.1%).
Conclusions CT features of HLAP are significantly different from the ABP, which may be useful for early precise diagnosis and treatment for HLAP.

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