实验室确认的COVID-19患者的腹部成像发现:一项回顾性观察性研究
Tareq Al Taei1, Zainab Yusuf1, Sarah Al Mail1
1Radiology, Salmaniya Medical Complex, Manama, BHR.
Cureus
|August 31, 2023
概括
COVID-19通常会引起消化系统症状,导致成像检查. 这项研究发现,COVID-19患者的腹部成像结果是可变的,CT扫描比超声波更有可能显示出积极的结果.
科学领域:
- 医疗成像医学成像
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 通常会出现呼吸系统症状,但大量患者表现出消化系统症状.
- 这些非特异性胃肠道症状往往需要进一步的成像评估来帮助诊断.
- 了解COVID-19的腹部成像发现对于准确的诊断和患者管理至关重要.
研究的目的:
- 描述COVID-19患者的腹部成像发现 (CT和超声波).
- 评估订购这些成像研究的原因.
- 为了将成像发现与患者人口统计相关联.
主要方法:
- 进行了一项回顾性观察性研究.
- 分析了97名PCR确诊的COVID-19患者的腹部CT和超声数据.
- 关于人口统计,成像请求原因和发现的数据来自电子健康记录和PACS.
主要成果:
- 大多数患者 (57.7%) 是男性.
- 腹部疼痛 (60.8%) 是成像最常见的原因,其次是异常的肝酶 (18.6%).
- 超过75%的成像研究显示出阳性腹部发现,包括非特异性炎症 (19.6%) 和胆囊疾病 (13.4%). CT扫描比超声波 (P < 0.01) 产生了更多的积极结果.
结论:
- COVID-19的腹部表现是多样化的,研究,特别是在某些地区,仍然有限.
- 在COVID-19病例中观察到腹部器官参与的可变表现.
- 需要进一步的数据来优化成像研究选择,协议和解释,以改善患者护理.
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