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临床疑似肾绞痛患者非增强CT检测到的肾结石与脂肪肝之间的关联。

Association between nephrolithiasis and fatty liver detected on non-enhanced CT for clinically suspected renal colic.

作者信息

Zeina Abdel-Rauf, Goldenberg Limor, Nachtigal Alicia, Hasadia Rabea, Saliba Walid

机构信息

Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel; Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel; Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

出版信息

Clin Imaging. 2017 May-Jun;43:148-152. doi: 10.1016/j.clinimag.2017.03.011. Epub 2017 Mar 16.

Abstract

PURPOSE

To estimate a direct association between nephrolithiasis and hepatosteatosis in patients referred to CT due to clinical suspicion of renal colic.

METHODS

A 508 non-contrast CT scans were examined for calculi in the kidneys or urinary tract, including measurements of liver attenuation, spleen attenuation, thickness of visceral and subcutaneous fat. Logistic regression examined the association of nephrolithiasis and hepatosteatosis findings.

RESULTS

Nephrolithiasis was found in 421 (83.9%) and hepatosteatosis in 80 (15.7%) cases. Univariate analysis showed a statistically significant association between nephrolithiasis and hepatosteatosis OR=3.24 (95% CI 1.36-7.68), p=0.008.

CONCLUSIONS

A significant association was determined between nephrolithiasis and hepatosteatosis.

摘要

目的

评估因临床怀疑肾绞痛而接受CT检查的患者中肾结石与肝脂肪变性之间的直接关联。

方法

对508例非增强CT扫描进行检查,以确定肾脏或尿路结石,包括测量肝脏衰减、脾脏衰减、内脏和皮下脂肪厚度。采用逻辑回归分析肾结石与肝脂肪变性结果之间的关联。

结果

421例(83.9%)发现肾结石,80例(15.7%)发现肝脂肪变性。单因素分析显示,肾结石与肝脂肪变性之间存在统计学显著关联,OR=3.24(95%CI 1.36-7.68),p=0.008。

结论

确定肾结石与肝脂肪变性之间存在显著关联。

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