计算机断层扫描显示的肠壁增厚与结肠镜检查的相关性：一项初步研究。
Correlation of Bowel Wall Thickening Seen Using Computerized Tomography With Colonoscopies: A Preliminary Study.
作者信息
Isik Arda, Soyturk Mehmet, Süleyman Sakir, Firat Deniz, Peker Kemal, Yilmaz İsmayil, Celebi Fehmi
机构信息
*General Surgery Department †Radiology Department, School of Medicine, Erzincan University, Erzincan ‡Radiology Department, School of Medicine, Karadeniz Technical University Trabzon, Turkey.
出版信息
Surg Laparosc Endosc Percutan Tech. 2017 Jun;27(3):154-157. doi: 10.1097/SLE.0000000000000389.
PURPOSE
Bowel wall thickening (BWT) is a common finding in abdominal computerized tomography imaging (CTi). The purpose of the present study was a prospective assessment and management of patients who have BWT in abdominal CTi.
MATERIALS AND METHODS
This study was conducted between January 2012 and July 2014 at Erzincan University Hospital, Turkey, with 64 patients who were admitted to the emergency and general surgery department. All of the patients had received colonoscopies due to BWT seen in abdominal CTi.
RESULTS
Twenty-three (36%) female and 41 (64%) male patients were included in the study. The mean age was 56.2 years (range, 14 to 84 y). The positive predictive value of CTi for BWT was 87.5%. The positive predictive value of a CTi diagnosis of the disease according to a radiologist's report was 78.1%. Common pathologies detected by colonoscopy included neoplasia and inflammatory bowel disease.
CONCLUSIONS
Diagnosis of BWT by abdominal CTi reveals pathologies in many cases. Colonoscopies will be helpful in the differential diagnosis.
目的
肠壁增厚（BWT）是腹部计算机断层扫描成像（CTi）中的常见表现。本研究的目的是对腹部CTi检查发现有BWT的患者进行前瞻性评估和管理。
材料与方法
本研究于2012年1月至2014年7月在土耳其埃尔津詹大学医院进行，纳入了64例入住急诊和普通外科的患者。所有患者因腹部CTi检查发现BWT而接受了结肠镜检查。
结果
本研究纳入了23例（36%）女性患者和41例（64%）男性患者。平均年龄为56.2岁（范围14至84岁）。CTi对BWT的阳性预测值为87.5%。根据放射科医生报告，CTi对该疾病诊断的阳性预测值为78.1%。结肠镜检查发现的常见病变包括肿瘤和炎症性肠病。
结论
腹部CTi诊断BWT在许多情况下可发现病变。结肠镜检查有助于鉴别诊断。
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