Fishman E K, Wolf E J, Jones B, Bayless T M, Siegelman S S
AJR Am J Roentgenol. 1987 Mar;148(3):537-40. doi: 10.2214/ajr.148.3.537.
CT scans from 80 consecutive patients with clinically symptomatic Crohn's disease were reviewed retrospectively to determine the effect of CT diagnosis on patient management. The initial clinical impression and any subsequent change in patient management because of the CT findings were noted. In 22 (28%) of the 80 patients, significant previously unsuspected findings led to a change in medical or surgical management. These included 12 patients with fistulae, four with abscess, two with avascular necrosis of the femoral head, two with sacral osteomyelitis, and single cases of pelvic inflammatory disease and femoral vein thrombosis.
回顾性分析80例有临床症状的克罗恩病患者的CT扫描结果，以确定CT诊断对患者治疗的影响。记录初始临床印象以及因CT检查结果导致的患者治疗的任何后续变化。80例患者中有22例（28%），此前未被怀疑的显著检查结果导致了药物或手术治疗的改变。这些情况包括12例有瘘管的患者、4例有脓肿的患者、2例股骨头缺血性坏死的患者、2例骶骨骨髓炎的患者，以及盆腔炎和股静脉血栓形成各1例。
