摘要
目的探讨CT肠道造影(CTE)检查对活动期溃疡性结肠炎(UC)病情的评估价值分析。方法选取我院2018年1月至2019年2月收治的86例活动期UC患者作为研究对象,回顾性分析其临床及影像学资料,记录CTE表现评分和Mayo评分,并分析两者相关性,总结活动期UC在CTE中图像特征。结果86例活动期UC患者其轻度22例,中度30例和重度34例。其中轻度活动UC患者CTE评分为(4.26±0.84)分,中度活动UC患者CTE评分为(7.52±1.26)分和重度活动UC患者CTE评分为(10.68±1.28)分,不同程度活动UC患者CTE评分比较差异间具有统计学意义(P<0.05),且随着活动度的加重,CTE评分逐渐升高,经等级Spearma相关分析得CTE评分与Mayo评分成正相关(r=0.865,P=0.026)。86例活动期UC患者在CTE检查中可见42例病变范围可累及全结肠,其中有2例同时累及回肠末段;20例累及左侧半结肠,24例累及直肠和乙状结肠,以肠镜结果作为金标准,CTE检查显示病变范围累及正确率为84.88%(73/86)。在CTE检查中,有82例表现为肠壁增厚,进一步增强扫描示74例出现肠粘膜强化程度增加。结论CTE检查可清楚显示活动期UC患者病灶病变情况,其其评分与Mayo评分呈正相关,对活动期UC患者病情程度具有较好的评估价值。
Objective To evaluate the value of computed tomography enterography(CTE)in the evaluation of active ulcerative colitis(UC).Methods 86 patients with active UC who were admitted to our hospital from January 2018 to February 2019 were selected as subjects.The clinical and imaging data were retrospectively analyzed,CTE performance scores and Mayo scores were recorded,and the correlation between them was analyzed.The image characteristics of the active period UC in the CTE are summarized.Results In the 86 patients with active UC,22 were mild,30 were moderate,and 34 were severe.Among them,the CTE score of patients with mild active UC was(4.26±0.84),the CTE score of patients with moderate active UC was(7.52±1.26),and the score of CTE for patients with severe active UC was(10.68±1.28).There was a statistically significant difference in CTE scores between patients with different degrees of active UC(P<0.05).With the increasing of activity,the CTE score gradually increased,and the CTE score was positively correlated with the Mayo score by grade Spearma correlation analysis(r=0.865,P=0.026).In 86 patients with active UC,42 cases of lesions were involved with the whole colon,including 2 cases involving the distal ileum,20 cases involving the left colon,24 cases involving the rectum and sigmoid colon.The colonoscopy results were used as the gold standard,and the CTE examination showed that the correct range of lesions involved was 84.88%(73/86).In the CTE examination,82 cases showed thickening of the intestinal wall,and further enhanced scanning showed an increasing in enhancement of intestinal mucosal.Conclusion CTE examination can clearly show the lesions in patients with active UC,and its score is positively correlated with Mayo score,and has a good evaluation value for patients with active UC.
作者
周凯
孙玉龙
刘沆
朱振宇
ZHOU Kai;SUN Yu-long;LIU Kang;ZHU Zhen-yu(Department of Medical Imaging,Kaifeng People's Hospital,Kaifeng 475000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第9期69-70,共2页
Journal of Rare and Uncommon Diseases
