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Radiology：为结肠镜检查憩室出血探雷的增强CT检查

2018-08-07 shaosai MedSci原创

结肠镜憩室CT
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本研究旨在验证结肠镜检查前增强CT检查评价结肠憩室出血（CDB）的价值，将结果发表在radiology上。

本研究旨在验证结肠镜检查前增强CT检查评价结肠憩室出血（CDB）的价值，将结果发表在radiology上。

本研究纳入了急性便血入院的患者，并排除无CDB的患者。在结肠镜检查前行CT检查。利用Mann-Whitney U检验、卡方检验和多变量Logistic回归分析评价增强CT的诊断准确性。

结果为，共有442例患者纳入研究，202例患者诊断为CDB。共有50/202例患者CT检查中发现阳性外渗，5/9例患者(55.6%)在上次便血1小时内行CT检查。在多变量分析中，自上次便血到行CT检查的间隔期是评价对比剂外渗的预测因子(β系数为-.0038 ± 0.0014n])。CT对比剂外渗预测憩室近期出血破口的敏感性和特异性分别为38/66 (57.6%； 95% CI： 44.8%， 69.7%) and a specificity of 124/136 (91.2%； 95%CI： 85.1%， 95.4%)尽管敏感性比较低，但当CT检查为上次出血4小时内时，敏感性升高。

本研究表明，结肠镜检查前及时行CT增强检查有助于是否行急诊结肠镜检查决策的制定。

原始出处：

Umezawa S， Nagata N， Arimoto J. et al.Contrast-enhanced CT for Colonic Diverticular Bleeding before Colonoscopy： A Prospective Multicenter Study.Radiology.DOI：10.1148/radiol.2018172910

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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-11-01 bnurmamat

    #增强CT#

    0

  2. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-27 zwjnj2

    好好学习天天向上

    0

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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-12 青山颖钰

    学习了

    0

  4. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454940, encodeId=060c1454940a7, content=<a href='/topic/show?id=697c5465d9' target=_blank style='color:#2F92EE;'>#CT检查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5465, encryptionId=697c5465d9, topicName=CT检查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07e5619265, createdName=kzlchina, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522730, encodeId=ae771522e300b, content=<a href='/topic/show?id=14d853e8918' target=_blank style='color:#2F92EE;'>#憩室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53789, encryptionId=14d853e8918, topicName=憩室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33b211483971, createdName=zutt, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337232, encodeId=387133e232c3, content=这个学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/08/06/a313b29462d38919a70f6ff00472d6b4.jpg, createdBy=86572414239, createdName=chinadoctorliu_19344479, createdTime=Wed Aug 08 07:06:55 CST 2018, time=2018-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337193, encodeId=620733e19323, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Tue Aug 07 23:24:07 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337184, encodeId=0c2e33e18462, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 07 23:18:43 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337181, encodeId=bb3633e18170, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-09 zhouqu_8

    #肠镜#

    0

  5. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454940, encodeId=060c1454940a7, content=<a href='/topic/show?id=697c5465d9' target=_blank style='color:#2F92EE;'>#CT检查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5465, encryptionId=697c5465d9, topicName=CT检查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07e5619265, createdName=kzlchina, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522730, encodeId=ae771522e300b, content=<a href='/topic/show?id=14d853e8918' target=_blank style='color:#2F92EE;'>#憩室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53789, encryptionId=14d853e8918, topicName=憩室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33b211483971, createdName=zutt, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337232, encodeId=387133e232c3, content=这个学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/08/06/a313b29462d38919a70f6ff00472d6b4.jpg, createdBy=86572414239, createdName=chinadoctorliu_19344479, createdTime=Wed Aug 08 07:06:55 CST 2018, time=2018-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337193, encodeId=620733e19323, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Tue Aug 07 23:24:07 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337184, encodeId=0c2e33e18462, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 07 23:18:43 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337181, encodeId=bb3633e18170, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-09 kzlchina

    #CT检查#

    0

  6. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454940, encodeId=060c1454940a7, content=<a href='/topic/show?id=697c5465d9' target=_blank style='color:#2F92EE;'>#CT检查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5465, encryptionId=697c5465d9, topicName=CT检查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07e5619265, createdName=kzlchina, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522730, encodeId=ae771522e300b, content=<a href='/topic/show?id=14d853e8918' target=_blank style='color:#2F92EE;'>#憩室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53789, encryptionId=14d853e8918, topicName=憩室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33b211483971, createdName=zutt, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337232, encodeId=387133e232c3, content=这个学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/08/06/a313b29462d38919a70f6ff00472d6b4.jpg, createdBy=86572414239, createdName=chinadoctorliu_19344479, createdTime=Wed Aug 08 07:06:55 CST 2018, time=2018-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337193, encodeId=620733e19323, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Tue Aug 07 23:24:07 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337184, encodeId=0c2e33e18462, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 07 23:18:43 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337181, encodeId=bb3633e18170, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-09 zutt

    #憩室#

    0

  7. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454940, encodeId=060c1454940a7, content=<a href='/topic/show?id=697c5465d9' target=_blank style='color:#2F92EE;'>#CT检查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5465, encryptionId=697c5465d9, topicName=CT检查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07e5619265, createdName=kzlchina, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522730, encodeId=ae771522e300b, content=<a href='/topic/show?id=14d853e8918' target=_blank style='color:#2F92EE;'>#憩室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53789, encryptionId=14d853e8918, topicName=憩室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33b211483971, createdName=zutt, createdTime=Thu Aug 09 13:06:00 CST 2018, time=2018-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337232, encodeId=387133e232c3, content=这个学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/08/06/a313b29462d38919a70f6ff00472d6b4.jpg, createdBy=86572414239, createdName=chinadoctorliu_19344479, createdTime=Wed Aug 08 07:06:55 CST 2018, time=2018-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337193, encodeId=620733e19323, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Tue Aug 07 23:24:07 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337184, encodeId=0c2e33e18462, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 07 23:18:43 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337181, encodeId=bb3633e18170, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-08 chinadoctorliu_19344479

    这个学习了

    0

  8. 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encodeId=620733e19323, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Tue Aug 07 23:24:07 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337184, encodeId=0c2e33e18462, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 07 23:18:43 CST 2018, time=2018-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=337181, encodeId=bb3633e18170, content=了解一下，谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-07 医者仁心5538

    学习了

    0

  9. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-07 1209e435m98(暂无昵称)

    学习了，谢谢分享

    0

  10. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Tue Aug 07 23:18:24 CST 2018, time=2018-08-07, status=1, ipAttribution=)]
    2018-08-07 天地飞扬

    了解一下，谢谢分享！

    0

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