发生无症状尿膀气体的患者CT上的膀部位置差异:一项比较后期研究
Israel Cohen1, Maria Segev1, Olga Saukhat1
1Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel; Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
European journal of radiology
|January 7, 2025
概括
膀下部部位置可能与女性CT扫描中发现的偶发膀气体有关. 这一发现表明,解剖学因素可能会影响气体存在,影响未来的诊断考虑.
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
- 人体解剖学 解剖学 解剖学
背景情况:
- 偶尔在计算机断层扫描 (CT) 扫描上检测到无症状的尿液气体.
- 在无症状个体中膀气体的病因仍然不太清楚.
- 潜在的促成因素,包括解剖学变异,令状调查.
研究的目的:
- 探索膀部位置与女性患者CT扫描中偶发的膀气体发生之间的关联.
- 为了确定特定的膀部位置是否与无症状膀气体的存在相关.
主要方法:
- 对从2012年到2023年的CT扫描报告进行了回顾性分析.
- 确定了偶发性膀气体的患者,并与没有膀气体的年龄和性别匹配的对照组进行了比较.
- 测量了膀部和阴线 (B-PCL) 之间的距离,以评估膀部的位置.
主要成果:
- 在1322名患者中,66人符合纳入标准;大多数是女性.
- 与对照组 (9.3 mm) 相比,膀气体的女性患者的B-PCL中位距离 (5.3 mm) 显著缩短 (p=0.002).
- 很高的读者间和读者内部一致性 (ICC > 0.95) 证实了B-PCL测量的可靠性.
结论:
- 膀下部部位置,以较短的B-PCL距离表示,与女性CT扫描中偶发膀气体的存在相关.
- 这种解剖相关性可能表明,下降的膀位置可能会导致气体积累.
- 进一步的研究可能会阐明这种关联的临床意义和诊断含义.
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