扩大普通胆道直径作为细菌病的指标,患者有症状的普通胆道结石
Kazuharu Kawano1, Takayuki Otani1, Toshikazu Abe2
1Department of Emergency Medicine, Hiroshima City Hiroshima Citizens Hospital, 7-33 Motomachi, Naka-ku, Hiroshima-city, Hiroshima, 730-8518, Japan.
概括
在患有胆结石的患者中,常见的胆道扩张与细菌血症有关. 测量普通胆道直径可能有助于识别细菌病患者,帮助治疗决策.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
背景情况:
- 对于急性胆道炎的血液培养的最佳时间尚不清楚.
- 在患有CBD结石的患者中,普通胆道 (CBD) 直径和细菌病之间的关系需要阐明.
研究的目的:
- 调查常见胆道直径与患有症状CBD结石的患者的细菌病发病率之间的相关性.
- 在这个患者群体中识别与细菌病相关的因素.
主要方法:
- 对270名患有症状CBD石头的患者进行了回顾性观察研究.
- 细菌性和非细菌性组之间的患者特征和CBD直径的比较.
- 单变量和多变量分析以确定与细菌血症相关的因素.
主要成果:
- 50%的患者 (134/270人) 发生了细菌病.
- 在细菌病患者中,CBD直径显著增加 (12.4毫米对比9.7毫米,P<0.001).
- CBD直径与细菌病 (OR:1.25,P <0.010) 有意义地相关,诊断截止值为11.2mm (AUC 0.72).
结论:
- 在患有症状CBD石头的患者中,CBD扩张与细菌病有显著的相关性.
- 虽然不是唯一的诊断工具,但CBD扩张可以表明细菌病风险.
- CBD直径可能有助于治疗胆管炎的治疗策略,无论最初的严重程度如何.
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