【摘要】：目的:探討急性胰腺炎(AP)嚴(yán)重程度與肝損害相關(guān)性及肝臟ADC值對評價肝損害的價值。方法:回顧性分析103例AP患者的臨床資料,根據(jù)血生化指標(biāo)將AP分為肝功能損害組和肝功能正常組,根據(jù)APACHEⅢ評分將AP分為輕度(30分)和重度(≥30分)兩組。分析AP肝損害發(fā)生率與APACHEⅢ評分的相關(guān)性,肝臟ADC值與AST、ALT及APACHEⅢ評分的相關(guān)性。結(jié)果:103例AP患者肝損害發(fā)生率為62%,肝損害發(fā)生率與APACHEⅢ評分正相關(guān)(P0.05)。肝功能損害組肝臟ADC值低于肝功能正常組(P0.05)。肝功能損害組ADC值與ALT、AST均呈負(fù)相關(guān)(r=-0.584,P0.05;r=-0.731,P0.05)。肝功能損害組中,重度AP的肝臟ADC值低于輕度AP(P0.05)。結(jié)論:AP患者肝功能損害發(fā)生率隨APACHEⅢ評分升高而升高,ADC值在一定程度上可以預(yù)測和評價AP所致肝損害。
[Abstract]:Objective: to investigate the correlation between (AP) severity and liver injury and the value of liver ADC value in evaluating liver injury in acute pancreatitis. Methods: the clinical data of 103 patients with AP were analyzed retrospectively. According to the blood biochemical indexes, AP was divided into two groups: liver dysfunction group and normal group. According to APACHE 鈪，

本文編號：2221005