medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2017-2-60-72medvis-393Research ArticleБРЮШНАЯ ПОЛОСТЬ И ЗАБРЮШИННОЕ ПРОСТРАНСТВОABDOMEN AND RETROPERITONEALВлияние эволюции лучевых методов диагностики на хирургическое представление о фазах и стадиях острого панкреатитаRadiology in Acute Pancreatitis: Influence on Surgical Concepts of Phases and StagesСтепановаА. С.StepanovaA. S.

Степанова Александра Сергеевна – клинический ординатор отделения рентгенологии и магнитно-резонансных исследований 

Для корреспонденции: 117997 Москва, ул. Большая Серпуховская, д. 27. 

Alexandra S. Stepanova – resident of radiology department

Contact:  117997 Moscow, Bolshaya Serpuhovskaya str., 27

bloomsbury113@gmail.comВишневскийВ. А.VishnevskiyV. A.

Вишневский Владимир Александрович – доктор медицинских наук, профессор, руководитель отделения хирургии печени и поджелудочной железы 

Москва

Vladimir A. Vishnevskiy – doct. of med. sci., professor, Head of the Department of Surgery of the Liver and Pancreas

Moscow

ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава РоссииРоссияA.V. Vishnevsky Institute of SurgeryRussian Federation201728042017026072Copyright © Степанова А.С., Вишневский В.А., 20172017Степанова А.С., Вишневский В.А.Stepanova A.S., Vishnevskiy V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/393

В современной панкреатологии проблема диагностики острого панкреатита – одна из наиболее сложных и актуальных. За последние десятилетия заболеваемость острым панкреатитом увеличилась более чем в 2 раза и превышает 25% в структуре острых хирургических заболеваний. Панкреонекроз составляет около 20–35% среди всех осложнений. Общая и послеоперационная летальность достигает 15–45%. Применение современных методов лучевой диагностики у больных острым панкреатитом и панкреонекрозом позволяет определить форму болезни и выявить ее осложнения. В данном обзоре литературы рассматривается значение лучевых методов диагностики в планировании лечебной тактики у больных острым панкреатитом. Пристальное внимание уделено интерпретации данных компьютерной томографии с применением различных КТ-шкал и классификаций. Высокая заболеваемость лиц молодого и трудоспособного возраста придает этой проблеме важное социально-экономическое значение. Поэтому в настоящем обзоре проанализированы данные литературы и клинические случаи острого панкреатита. 

In modern pancreatology, diagnostics of acute pancreatitis is one of the most complex and urgent problems. In recent decades, the incidence of acute pancreatitis (AP) has more than doubled and now it exceeds 25% among acute surgical diseases. Pancreonecrosis accounts for about 20–35% of all complications. General and postoperative mortality reaches 15–45%. Modern radiology methods in patients with AP and pancreatic necrosis aid in determination of disease form and its complications. In this article, the importance of radiological methods for treatment planning is reviewed. Close attention is paid to the interpretation of computer tomography (CT) data using various CT-scales and classifications. High incidence among young and healthy people highlights socio-economic significance of AP. Therefore, in this literature review, we focus on the publications and clinical cases of acute pancreatitis. 

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The authors declare that there are no conflicts of interest present.