在腹部计算机断层扫描上,炎症性肠病中的圣肠炎:患病率,错误和相关因素
D K Kim1,2, K-C Lee1,3, J K Kim1
1Department of Radiology, The Armed Forces Capital Hospital, Seongnam, Republic of Korea.
Scandinavian journal of rheumatology
|April 30, 2024
概括
在炎症性肠病 (IBD) 患者中,很大一部分圣肠炎病例在最初的腹部CT扫描中错过了. 在CT上早期检测出神关节炎,特别是背部疼痛,有助于诊断轴性脊柱关节炎 (axSpA).
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 类风湿病学 类风湿病学
背景情况:
- 炎症性肠病 (IBD) 与神经炎的风险增加有关,这是轴性脊柱关节炎 (axSpA) 的一个关键特征.
- 腹部计算机断层扫描 (CT) 经常用于IBD评估,提供了一个评估神经关节 (SI) 的机会.
研究的目的:
- 为了确定IBD患者腹部CT上的圣炎的流行率和错过诊断率.
- 在这个人群中识别与神经炎相关的因素.
主要方法:
- 从210名IBD患者的腹部CT扫描进行了回顾性审查,使用了经过验证的SI关节评分工具.
- 单变量和多变量回归分析,以确定与神经炎相关的因素.
主要成果:
- 在12.4%的IBD患者 (26/210) 中存在圣炎.
- 观察到错误诊断的高率,80.8% (21/26) 的圣骨炎病例在初始阅读时没有报告.
- 背部疼痛是唯一与圣炎相关的独立因素 (p=0.01).
结论:
- 在IBD患者的腹部CT中,有显著的圣炎发病率,在初始解释中经常错过.
- 在腹部CT上仔细评估SI关节对于早期检测和潜在的axSpA诊断至关重要.
- 在IBD患者的背部疼痛中,需要考虑圣炎.
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