对CT成像分级系统的临床应用在上尿路结石和脏感染的上尿路结石
Jianping Zhang1,2,3, Lingfeng Zhu4,3, Xiaoxia Wu5,3
1Department of Urology, Affiliated Haixia Hospital of Huaqiao University (910th Hospital of PLA), Quanzhou, China.
Clinical and investigative medicine. Medecine clinique et experimentale
|September 26, 2024
概括
一个新的CT成像分级系统有效评估由上尿路结石引起的脏感染. 较高的CT等级与增加的临床症状和系统性炎症反应综合征 (SIRS) 的更高风险相关.
科学领域:
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
背景情况:
- 上部泌尿道结石 (结石) 可以导致严重的脏感染.
- 评估这些感染的严重程度和相关风险对于患者管理至关重要.
- 目前的成像方法可能无法完全捕捉结石相关脏感染的临床影响.
研究的目的:
- 建立一种新的CT成像分级系统,用于脏感染的上尿路结石.
- 评估CT分级系统与临床表现之间的相关性.
- 探索CT分级系统在预测系统性炎症反应综合征 (SIRS) 风险方面的价值.
主要方法:
- 对126名患有脏感染和上尿路结石的患者CT图像的回顾性分析.
- 开发和分类一个4级CT成像系统.
- 单变量和多变量分析以确定SIRS的风险因素,使用SIRS的发生作为终点.
主要成果:
- 在CT等级之间观察到临床和实验室发现 (例如白细胞计数,C反应蛋白) 的显著差异 (P <0.05).
- 患有发烧或糖尿病的患者呈现较高的CT等级.
- 在多变量分析后,CT分级成为SIRS风险的统计学上显著的独立预测因素.
结论:
- 开发的CT分级系统与患有脏感染和上尿路结石的患者的临床症状直接相关.
- 较高的CT等级表明患有SIRS的风险更高.
- 这种CT分级系统为疾病严重程度和患者风险分层提供了宝贵的见解.
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