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| Evaluation effect of pancreatitis CT necrosis grading on the efficacy of pancreatitis |
| LIU Jin-cai |
| Department of Gastroenterology,the First People′s Hospital in Jiujiang City,Jiangxi Province,Jiujiang 332000,China |
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Abstract Objective To investigate the evaluation effect of pancreatitis CT necrosis grading on the efficacy of pancreatitis.Methods From July 1,2014 to July 1,2017,55 patients with necrotizing pancreatitis treated in our hospital were selected as the subjects.All patients received CT scan,the CT necrosis grading and prognosis indicators of pancreatitis were analyzed comprehensively to evaluate the therapeutic effect.Results By CT scan,16 cases of point or slice necrosis,22 cases of segmental necrosis and 17 cases of the total pancreas necrosis were diagnosed.The fasting time ([7.12±2.01] d),heating time ([2.48±2.14] d) and hospitalization days ([16.25±5.52] d) of patients with point or slice necrosis were shorter than those of patients with segmental necrosis ([10.26±2.25],[4.52±2.13],[20.16±4.34] d) and the total pancreas necrosis ([15.34±3.31],[6.67±3.32],[40.26±7.15] d),the differences were statistically significant (P<0.05).The fasting time,heating time and hospitalization days of patients with segmental necrosis were shorter than those of patients with total pancreas necrosis,the differences were statistically significant (P<0.05).The incidence rate of the formation of pseudosaccus,organ failure and suffered organ damage was compared in the patients with different CT necrosis grading,the differences were not statistically significant (P>0.05).The transshipment operation rate and mortality of patients with point or slice necrosis and segmental necrosis were compared,the differences were not statistically significant (P>0.05).While the transshipment operation rate (35.29%) and mortality (29.41%) of patients with total pancreas necrosis were higher than those of patients with point or slice necrosis (0.00%,6.25%) and segmental necrosis (9.09%,9.09%),the differences were statistically significant (P<0.05).Conclusion The accuracy of CT in the pancreatic necrosis grading is high.After grading the degree of pancreatic necrosis,the corresponding therapeutic regimen can be adopted in order to improve the prognosis and ensure patients′ life.
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