硬结肠炎:CT成像发现和临床风险因素
Nicholas A Zacharias1, Meghan G Lubner2, Elizabeth S Richards3
1Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Avenue, Madison, WI, 53792, USA.
Abdominal radiology (New York)
|June 27, 2023
概括
硬质结肠炎,一种导致炎症的硬化便状况,可能被低估诊断. 穿孔风险与西格结肠的参与和特定的患者因素有关,而不仅仅是传统的风险群体.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 结肠直肠手术 结肠直肠手术
背景情况:
- 硬结肠炎 (SC) 是一种由受影响的便引起的炎症性疾病.
- 了解SC的临床表现和CT发现对于及时诊断和管理至关重要.
- 以前的研究已经突出了风险因素,但需要更新成像相关性.
研究的目的:
- 更新对与硬管结肠炎相关的临床风险因素的理解.
- 描述SC的相对频率,解剖位置和CT成像特征.
- 为了将CT发现与手术和病理结局相关联.
主要方法:
- 对CT报告进行了5年后期审查 (05/2017-05/2022).
- 纳入标准:光线膨胀与形成的便,墙壁加厚,周围的炎症.
- 病例分为轻度和中度至重度;对于中度至重度病例,分析了风险因素和结果.
主要成果:
- 在545例总体病例中,发现了93例中度至严重的SC病例 (17%).
- 穿孔发生在22%的中度至重度病例中,有利于西格体的参与 (95%的穿孔子队).
- 穿孔与增加墙壁厚度,阿片类药物使用和死亡率有关;与神经认知障碍和制度化相关性较小.
结论:
- 在临床实践中,结肠直肠炎可能没有得到充分报告.
- 在SC的穿孔显示出对西格结肠的偏好.
- 经历穿孔的患者队列可能与传统的风险概况有所不同.
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