计算机断层扫描用于检测摄入泡包的临床评估:单中心回顾性研究
Yo Ishihara1,2, Chikamasa Ichita1,3, Ryuhei Jinushi1,4
1Department of Gastroenterology Medicine Center Shonan Kamakura General Hospital Kanagawa Japan.
DEN open
|July 16, 2024
概括
计算机断层扫描 (CT) 在临床环境中比聚烯 (PP) BPs更有效地检测聚乙烯/聚乙烯化物囊泡包 (BPs). 这种差异对于诊断摄入的BP至关重要,特别是当PP包装缺少药片时.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 材料科学 材料科学 材料科学
背景情况:
- 囊泡包 (BP) 的摄入带来了重大风险,包括胃肠道穿孔.
- 计算机断层扫描 (CT) 通常用于血压局部化.
- 实验室研究表明CT可见性因BP材料而异,但缺乏临床数据.
研究的目的:
- 在临床环境中研究不同囊袋材料的CT检测率.
- 为了比较聚烯 (PP) 与聚乙烯 (PVC) /聚乙烯化物 (PVDC) 的检测能力,使用CT.
- 评估药片在CT检测摄入的囊片的存在的影响.
主要方法:
- 单中心回顾性研究 (2010-2022) 患者接受内镜外体去除BP摄入.
- 根据BP材料分组的患者:聚烯 (PP) 和聚乙烯 (PVC) /聚乙烯化物 (PVDC).
- 主要结果:材料组之间的CT检测率的比较;次要结果:平板电脑存在和位置分析.
主要成果:
- 该研究包括61名患者 (15名PP组,46名PVC/PVDC组).
- 与PP (53.3%) 相比,PVC/PVDC的CT检测率 (97.8%) 显著更高 (p < 0.01).与PP (53.3%) 相比,PVC/PVDC的CT检测率显著更高 (p < 0.01).
- 通过CT检测并没有仅检测到PP囊泡包;大多数BP位于上胸腔食道.
结论:
- 对于PVC/PVDC泡囊包的临床CT检测率高于PP.
- 通过CT识别PP囊泡包装,特别是没有药片的包装,具有挑战性.
- 由于穿孔风险,即使有负面CT检测结果,食管胃管腺镜也可能是必要的.
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