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이구,한호성,유진종,정성훈,Lee, Goo,Han, Ho-Seong,You, Jin-Jong,Chung, Sung-Hoon 대한영상의학회 1993 대한영상의학회지 Vol.29 No.3
Since Kappis described percutaneous celiac plexus block in 1914, variations and refinements of his technic have been proposed. Recently. computed tomography (CT) guided nerve block has improved results of the block and made it safer, particularly when neurolytic druge are injected for the relief of intractable abdominal pain caused by malignancy or chronic pancreatitis. We report a case of CT-guided alcohol block of the celiac plexus with the anterior approach in a patient with a common bile duct carcinoma
급성 췌장염 환자에서 CT Serverity Index의 의의
황호,안인옥,김영미,나재범,전세준,정성훈,유진종,송익훈,Hwang, Ho,Ahn, In-Oak,Kim, Young-Mi,Na, Jae-Boem,Jun, Se-June,Chung, Sung-Hoon,You, Jin-Jong,Song, Ik-Hoon 대한영상의학회 1997 대한영상의학회지 Vol.36 No.2
Purpose : To assess the usefulness of a CT severity index(CTSI) for the evaluation of acute pancreatitis and correlate it with clinical findings. Materials and Methods : We retropectively evaluated contrast enhanced CT in 34 patients with acute pancreatitis. They were categorized into low-score(0-2), middle-score(3-6), and high-score(7-10) groups according to CTSI points, and those groups were correlated with duration of fasting period, days in hospital morbidity and mortality. We attempted to determine the differences in CTSI between pancreatitis caused by alcohol and by biliary tract disease.Results : Of 34 patients, 11 were placed in the low-score group, 19 in the middle-score group, and 4 in the high-score group. The patients in the middle-score group experienced longer fasting period and stayed longer in hospital than those in the low-score group(p<.05 and p=.08, respectively). Morbidity was 0% in the low-score group, 37% in the middle-score group and 50% in the high-score group. Mortality occurred in two patients in high-score group, only. Alcohol-induced pancreatitis generally showed a higher CTSI and more severe clinical course than pancreatitis caused by biliary tract disease. Conclusion : In the evaluation of acute pancreatitis, CTSI can be a useful predictor of its prognosis.