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螺旋计算机断层扫描检测到的单纯性肾囊肿和肝囊肿的患病率。

The prevalence of simple renal and hepatic cysts detected by spiral computed tomography.

作者信息

Carrim Z I, Murchison J T

机构信息

Department of Clinical Radiology, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK.

出版信息

Clin Radiol. 2003 Aug;58(8):626-9. doi: 10.1016/s0009-9260(03)00165-x.


DOI:10.1016/s0009-9260(03)00165-x
PMID:12887956
Abstract

AIM: To provide a definitive evaluation of the prevalence of simple renal and hepatic cysts using spiral computed tomography (CT). PATIENTS AND METHODS: Contrast-enhanced abdominal CT studies from 617 patients (295 women, 322 men) attending for investigations unrelated to renal or hepatic pathology were included. The number of renal cysts, their location and the diameter of the largest cyst were recorded. Hepatic cysts were recorded as being either present or absent. RESULTS: Two hundred and fifty-four patients (41%) were found to have simple renal cysts and 110 patients were found to have simple hepatic cysts (18%). Both renal and hepatic cysts became more common with age. Renal cysts were significantly more common at all ages in men (p=0.001), and increased in both size (p=0.02) and number (p<0.05) with age. CONCLUSION: A major discrepancy has, until now, existed between autopsy prevalence of renal cysts and prevalence as reported by in-vivo third-generation CT or sonography studies. Using newer spiral CT machines, we have generated prevalence data closer to post-mortem findings. We have also shown a significant, but age dependent, association between the presence of simple hepatic and simple renal cysts (p=0.001)

摘要

目的:利用螺旋计算机断层扫描(CT)对单纯性肾囊肿和肝囊肿的患病率进行明确评估。 患者与方法:纳入617例因与肾或肝病变无关的检查前来就诊的患者(295例女性,322例男性)的腹部增强CT研究。记录肾囊肿的数量、位置以及最大囊肿的直径。记录肝囊肿是否存在。 结果:发现254例患者(41%)有单纯性肾囊肿,110例患者有单纯性肝囊肿(18%)。肾囊肿和肝囊肿的患病率均随年龄增长而增加。肾囊肿在各年龄段男性中均更为常见(p = 0.001),且随年龄增长,其大小(p = 0.02)和数量(p < 0.05)均增加。 结论:迄今为止,肾囊肿的尸检患病率与第三代CT或超声活体研究报告的患病率之间存在重大差异。使用更新的螺旋CT机器,我们得出了更接近尸检结果的患病率数据。我们还显示,单纯性肝囊肿和单纯性肾囊肿的存在之间存在显著但与年龄相关的关联(p = 0.001)

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