摘要
目的:探讨绞窄性肠梗阻的典型CT平扫征象,利用小肠梗阻狭窄预测建模及其特征相关性研究筛选提示手术治疗的重要征象。方法:回顾性分析本院2016年1月一2021年10月确诊为肠梗阻患者100例,根据外科手术结果分为绞窄性肠梗阻组(n=20)和非绞窄性肠梗阻组(n=80),收集所有患者影像及临床资料,利用小肠梗阻狭窄预测建模及其特征相关性研究方式分析不同CT征象在2组间的分布差异,并根据差异及逻辑回归进行联合诊断,筛选诊断价值较高的CT诊断组合。结果:100例患者中,2组在肠系膜水肿、肠壁增厚、肠壁密度增高或减低的分布差异有统计学意义(P<0.05),与小肠梗阻狭窄预测建模及其特征相关性研究筛选大部分一致。结论:利用小肠梗阻狭窄预测建模方式及其特征性相关性研究在CT平扫特征诊断绞窄性小肠梗阻具有一定价值。
Purpose:To explore the typical CT signs of strangulated small bowel obstruction,and to screen the important signs of surgical treatment by using the predictive modeling of small bowel obstruction and its characteristic correlation study.Methods:One hundred patients diagnosed with small bowel obstruction in our hospital from January 2016 to October 2021 were divided into strangulation small bowel obstruction group(n=20)and non-strangulation small bowel obstruction group(n=80)according to surgical results.Imaging and clinical data of all patients were collected.The distribution difference of different CT signs between the two groups was analyzed by predictive modeling of small bowel obstruction and stenosis.Combined diagnosis was made according to the difference and logistic regression,and the CT diagnosis combination with high diagnostic value was screened.Results:Among 100 patients,there were statistical significant differences in the distribution of mesenteric edema,intestinal wall thickening,and increased or decreased intestinal wall density between the two groups(P<0.05).Conclusion:The prediction modeling method of small bowel obstruction and its characteristic correlation study have certain diagnostic value in the diagnosis of strangulated small bowel obstruction by CT plain scan.
作者
刘培
陈凯
樊昊
侯羽宇
何煜
杨晶东
黄丙仓
LIU Pei;CHEN Kai;FAN Hao;HOU Yuyu;HE Yu;YANG Jingdong;HUANG Bingcang(Department of Imaging,Gongli Hospital,Shanghai 200135,China;Department of General Surgery,Gongli Hospital;Department of Imaging,Dahua Hospital;Shanghai SixthPeople's Hospital;Department of Intelligent Science and Technology,School of Optoelectronics,University of Shanghai for Science and Technology)
出处
《中国医学计算机成像杂志》
CSCD
北大核心
2023年第6期625-630,共6页
Chinese Computed Medical Imaging
基金
浦东新区公共卫生学科建设项目(PWGw2020-01)
浦东新区卫生健康委员会重点学科建设(PWZxk2022-03)
浦东新区卫生健康委员会联合攻关项目(PW2021D-14)。
关键词
医工交叉建模
绞窄性小肠梗阻
计算机体层成像
诊断价值
Medical-engineering cross modeling
Strangulation small bowel obstruction
Computed tomography
Diagnostic value
