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在计算机断层扫描扫描检测到的偶然上胃肠壁厚度的内学意义
Zahid Idrees1, Hashim T Khan2, Usman Khan3
1Gastroenterology and Hepatology, Lancashire Teaching Hospital, Preston, GBR.
Cureus
|November 28, 2024
概括
在CT扫描上,偶然的上胃肠壁厚度往往显示良性原因. 患有红旗症状的患者更有可能出现恶性病变,需要紧急内镜检查.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 计算机断层扫描 (CT) 上的偶然上部胃肠壁厚度 (GIWT) 是一个常见的,非特定的发现.
- 偶然的GIWT的临床意义是不确定的,往往导致恶性瘤的紧急内镜评估.
- 目前的指导方针对偶然的GIWT的最佳调查途径缺乏明确性.
研究的目的:
- 评估计算机断层扫描 (CT) 发现的偶然上部胃肠壁厚度 (GIWT) 和随后的内镜和组织学诊断之间的相关性.
- 在CT扫描中确定患有偶发性GIWT的患者中恶性瘤的发生率.
- 评估紧急癌症途径对偶然性GIWT患者的有用性.
主要方法:
- 在2021年7月至2024年7月期间,对由于GIWT而被转诊进行内镜检查的CT患者进行了回顾性数据收集.
- 分析患者的人口统计,CT指示,内镜检查结果和组织学结果.
- GIWT发现与红旗症状和确诊的恶性瘤存在的相关性.
主要成果:
- 50名偶发性GIWT患者接受了内镜和组织学检查.
- 90%的患者患有食道壁厚度;10%患有胃壁厚度.
- 大约8%的患者确诊患有恶性病症,体重减轻或贫血等红旗症状患者的发病率更高 (6%).
结论:
- 在CT扫描中偶然的上部GIWT主要与良性病理有关.
- 患有红旗症状的患者与偶然的GIWT一起具有更高的恶性瘤风险,这证明了紧急内镜评估的必要性.
- 需要进行更多的多中心研究,以建立用于调查偶然的GIWT的标准化协议.
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