Imaging classification and analysis of the diagnosis and treatment of infected pancreatic necrosis:a report of 126 cases

To explore the clinical characteristics of various types of infected pancreatic necrosis(IPN) and the prognosis of different treatment methods in the imaging classification of IPN proposed. The clinical data of 126 patients with IPN admitted to the Department of Pancreatic and Biliary Surgery, the F...

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Published in:Chung-hua wai kʿo tsa chih Vol. 61; no. 1; p. 33
Main Authors: Lu, T Q, Shang, L R, Bie, F, Xu, Y L, Sui, Y H, Li, G Q, Chen, H, Wang, G, Kong, R, Bai, X W, Tan, H T, Wang, Y W, Sun, B
Format: Journal Article
Language:Chinese
Published: China 01-01-2023
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Summary:To explore the clinical characteristics of various types of infected pancreatic necrosis(IPN) and the prognosis of different treatment methods in the imaging classification of IPN proposed. The clinical data of 126 patients with IPN admitted to the Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University from December 2018 to December 2021 were analyzed retrospectively. There were 70 males(55.6%) and 56 females(44.4%), with age( (IQR)) of 44(17)years (range: 12 to 87 years). There were 67 cases(53.2%) of severe acute pancreatitis and 59 cases (46.8%) of moderately severe acute pancreatitis. All cases were based on the diagnostic criteria of IPN. All cases were divided into Type Ⅰ(central IPN)( =21), Type Ⅱ(peripheral IPN)( =23), Type Ⅲ(mixed IPN)( =74) and Type Ⅳ(isolated IPN)( =8) according to the different sites of infection and necrosis on CT.According to different treatment strategies,they were divided into Step-up group( =109) and Step-jump group( =17). The
ISSN:0529-5815
DOI:10.3760/cma.j.cn112139-20220513-00221