本文選題：Crohn病 + 回結(jié)腸病變��； 參考：《中國(guó)醫(yī)學(xué)影像技術(shù)》2017年07期

【摘要】：目的采用CT小腸造影(CTE)探討克羅恩病回結(jié)腸病變與是否伴發(fā)肛瘺之間的關(guān)系。方法連續(xù)收集在本院確診為克羅恩病回結(jié)腸病變活動(dòng)期且接受CTE及肛管MRI的患者28例,其中肛瘺組16例、無肛瘺組12例,計(jì)算患者回盲部及結(jié)直腸病變的數(shù)目、最大病變的長(zhǎng)度及相鄰病變間的最小距離,并通過秩和檢驗(yàn)分析2組間是否具有差異。結(jié)果28例患者中,肛瘺組87.50%(14/16)累及左半結(jié)腸或直腸,無肛瘺組50.00%(6/12)累及左半結(jié)腸或直腸,差異有統(tǒng)計(jì)學(xué)意義(Z=-2.135,P0.05);肛瘺組回結(jié)腸克羅恩病的平均病變數(shù)目為3.06個(gè),非肛瘺組為2.91個(gè),差異無統(tǒng)計(jì)學(xué)意義(P0.05);肛瘺組最大病變長(zhǎng)度為(12.79±8.30)cm,無肛瘺組為(7.04±3.09)cm,差異無統(tǒng)計(jì)學(xué)意義(P0.05);肛瘺組相鄰病變間的最小距離為(5.23±2.98)cm,無肛瘺組為(8.44±2.87)cm,差異有統(tǒng)計(jì)學(xué)意義(Z=-2.095,P0.05)。結(jié)論克羅恩病是否發(fā)生肛瘺與病變位置及相鄰病變間的距離有關(guān),而與病變的數(shù)目和最大病變長(zhǎng)度無關(guān)。
[Abstract]:Objective to investigate the relationship between ileocolon lesion and anal fistula in Crohn's disease by CT enterography. Methods A total of 28 patients with active ileocolonic lesions of Crohn's disease and receiving CTE and anal MRI were collected, including 16 cases in anal fistula group and 12 cases in non-anal fistula group. The number of ileocecal and colorectal lesions were calculated. The maximum lesion length and the minimum distance between adjacent lesions were analyzed by rank sum test. Results among 28 patients, the anal fistula group (87.50% 14 / 16) involved the left colon or rectum, and the non-anal fistula group (50.005 / 12) involved the left colon or rectum, the difference was statistically significant (P 0.05), the average number of lesions in the anal fistula group was 3.06, and that in the non-anal fistula group was 2.91. The maximum lesion length of anal fistula group was 12.79 鹵8.30 cm, and that of non-anal fistula group was 7.04 鹵3.09 cm (P 0.05), the minimum distance between adjacent lesions in anal fistula group was 5.23 鹵2.98 cm, and that in non-anal fistula group was 8.44 鹵2.87 cm, with statistical significance. Conclusion the occurrence of anal fistula in Crohn's disease is related to the location of the lesion and the distance between the adjacent lesions, but not to the number of lesions and the maximum length of lesions.
【作者單位】： 中山大學(xué)附屬第六醫(yī)院放射科;
【基金】：廣東省自然科學(xué)基金項(xiàng)目(2015A030313109)
【分類號(hào)】：R574.62;R657.16;R816.5

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本文編號(hào)：1878337