CT肠道造影用于活动期溃疡性结肠炎病情评估的临床价值

Clinical Value of CT Enteroclysis in Evaluating the Condition of Active Ulcerative Colitis

为探讨CT肠道造影(CTE)用于活动期溃疡性结肠炎(UC)病情评估的临床价值,选择2018年4月至2020年2月我院诊治的48例活动期UC患者为研究对象,患者均经临床、结肠镜检查及病理学检查确诊为活动期UC,且均接受CTE检查,回顾相关资料,以结肠镜检查结果为标准,分析CTE对UC病变范围判断的准确性;同时,根据Mayo评分将患者分为轻度(10例)、中度(24例)、重度(14例),分析不同程度病情UC患者的CTE表现。结果显示,CTE诊断活动期UC准确率为100%,对其病变范围的判断准确率为89.58%(43/48)。不同程度病情UC患者黏膜下气泡、肠壁分层、肠系膜血管增多、肠系膜淋巴结肿大及结肠袋消失征象差异均存在明显差异(P<0.05)。结果表明,CTE可准确判断UC病变范围,全面评估活动期UC患者肠管、肠壁及肠外表现,用于活动期UC诊断及病情评估具有较高价值。

This study was to investigate the clinical value of CT enteroclysis(CTE)in evaluating the condition of active ulcerative colitis(AUC),enrolled 48 AUC patients who all were confirmedly diagnosed via clinical practice,coloscopy and pathological exam.,and received CTE inspection,as research objectives:revien their relevant data,take coloscopy results as standard to analyse the accuracy in determining UC lesion range,meanwhile,according to Mayo score ratings,divided them into light type(10 cases),mid-type(24 cases)and severe type(14 cases),and,analyse their CTE findings at above three typies of patients.As results,CTE’s accuracy rate in diagnosing AUC was up to 100%,and one in determining UC lesion range up to 89.58%(43/48);between different typies of UC patients in the image-signs such as submucosal air cell,parietal stratification,enteromesenteric angiomegaly,enteromesenteric lymphadenovarix,and haustra coli disappeared there were significant difference(P<0.05).Results show that CTE can accurately determine UC lesion range,completely evaluate the appearance in bowel canal,bowel wall,and out bowel of AUC patients,therefore,which has higher value in diagnosing AUC,and in evaluating its condition.