嗜酸性粒细胞与嗜酸性粒细胞性胃肠炎肠管CT病变范围的关系研究
|
摘要
目的分析嗜酸性粒细胞与嗜酸性粒细胞性胃肠炎(EG)肠管CT病变范围的关系。方法 80例EG患者,均行CT诊断,根据CT图像特征进行分组,多部位病变患者作为甲组,非多部位病变患者作为乙组,统计并对比两组嗜酸性粒细胞计数及比例。结果 CT显示:所有患者均存在管壁柔软、呈连续性分布、增厚、消化管壁水肿症状,增强扫描之后均存在明显强化,黏膜皱襞明显粗大,管壁中等明显强化。80例EG患者中可见胃肠道管壁呈分层状增厚62例,占77.50%(62/80)。根据CT图像特征得出甲组患者46例,乙组患者34例。甲组嗜酸性粒细胞计数及比例分别为(5.26±1.69)×10~9个/L、(57.26±6.26)%,均高于乙组的(2.25±0.68)×10~9个/L、(28.61±2.14)%,差异具有统计学意义(P<0.05)。结论嗜酸性粒细胞计数与EG存在一定的关联,嗜酸性粒细胞比例升高则说明患者病变累及的范围更广泛,临床值得借鉴。
Objective To analyze the relationship between eosinophils and intestinal CT lesion range in eosinophilic gastroenteritis(EG). Methods A total of 80 patients with EG were diagnosed by CT and grouped according to CT image characteristics. Patients with multi-site lesions were treated as group A and patients without multi-site lesions were treated as group B. The eosinophil count and proportion of the two groups were counted and compared. Results CT showed that all patients had soft, continuous distribution, thickening, digestive wall edema symptoms, enhanced enhancement after scanning, mucosal folds were obvious, and the wall was moderately enhanced. Among the 80 patients with EG, 62 cases showed stratified thickening of the gastrointestinal wall, accounting for 77.50%(62/80). According to the characteristics of CT images, 46 patients in group A and 34 patients in group B. Group A had eosinophil count and proportion respectively as(5.26±1.69)×10~9 pieces/L and(57.26±6.26)%, which were all higher than(2.25±0.68)×10~9 pieces/L and(28.61±2.14)% in group B, and the difference was statistically significant(P<0.05). Conclusion There is a certain correlation between eosinophil count and EG. The increase of eosinophil ratio indicates that the pathological range of patients is more extensive. It is worthy of clinical reference.
Objective To analyze the relationship between eosinophils and intestinal CT lesion range in eosinophilic gastroenteritis(EG). Methods A total of 80 patients with EG were diagnosed by CT and grouped according to CT image characteristics. Patients with multi-site lesions were treated as group A and patients without multi-site lesions were treated as group B. The eosinophil count and proportion of the two groups were counted and compared. Results CT showed that all patients had soft, continuous distribution, thickening, digestive wall edema symptoms, enhanced enhancement after scanning, mucosal folds were obvious, and the wall was moderately enhanced. Among the 80 patients with EG, 62 cases showed stratified thickening of the gastrointestinal wall, accounting for 77.50%(62/80). According to the characteristics of CT images, 46 patients in group A and 34 patients in group B. Group A had eosinophil count and proportion respectively as(5.26±1.69)×10~9 pieces/L and(57.26±6.26)%, which were all higher than(2.25±0.68)×10~9 pieces/L and(28.61±2.14)% in group B, and the difference was statistically significant(P<0.05). Conclusion There is a certain correlation between eosinophil count and EG. The increase of eosinophil ratio indicates that the pathological range of patients is more extensive. It is worthy of clinical reference.
引文
[1]郑贤应,曹代荣,游瑞雄,等.嗜酸性粒细胞胃肠炎的CT与MRI诊断价值.临床放射学杂志, 2015, 34(3):411-414.
[2]曾于.嗜酸性粒细胞性胃肠炎肠管CT病变范围关系与嗜酸性粒细胞相关性分析.实用医学影像杂志, 2017, 18(5):389-392.
[3]邓艳伟,白朝霞,李威.嗜酸性粒细胞胃肠炎的多排螺旋CT诊断价值.医学影像学杂志, 2017, 27(8):1498-1500.
[4]刘焱,蒋黎,张林川,等.嗜酸性粒细胞性胃肠炎的多层螺旋CT特征.中国医学影像学杂志, 2017, 25(7):505-508.
[5]张力,邓艳伟,于淑靖,等.嗜酸性胃肠炎的CT表现及临床特征分析.影像诊断与介入放射学, 2016, 25(3):189-192.
[6]何晓浩,孙淑霞,刘莉.嗜酸性粒细胞性胃肠炎CT影像表现与外周血嗜酸性粒细胞的关系.中国医学影像学杂志, 2017,25(6):461-464.
[7]黄韶辉,葛均华,章宏.嗜酸性粒细胞胃肠炎的CT及内镜诊断价值.浙江医学, 2008, 30(12):1400-1401.
[8]唐莹.腹部CT在嗜酸粒细胞性胃肠炎诊断中的价值.中国医科大学, 2012.
[2]曾于.嗜酸性粒细胞性胃肠炎肠管CT病变范围关系与嗜酸性粒细胞相关性分析.实用医学影像杂志, 2017, 18(5):389-392.
[3]邓艳伟,白朝霞,李威.嗜酸性粒细胞胃肠炎的多排螺旋CT诊断价值.医学影像学杂志, 2017, 27(8):1498-1500.
[4]刘焱,蒋黎,张林川,等.嗜酸性粒细胞性胃肠炎的多层螺旋CT特征.中国医学影像学杂志, 2017, 25(7):505-508.
[5]张力,邓艳伟,于淑靖,等.嗜酸性胃肠炎的CT表现及临床特征分析.影像诊断与介入放射学, 2016, 25(3):189-192.
[6]何晓浩,孙淑霞,刘莉.嗜酸性粒细胞性胃肠炎CT影像表现与外周血嗜酸性粒细胞的关系.中国医学影像学杂志, 2017,25(6):461-464.
[7]黄韶辉,葛均华,章宏.嗜酸性粒细胞胃肠炎的CT及内镜诊断价值.浙江医学, 2008, 30(12):1400-1401.
[8]唐莹.腹部CT在嗜酸粒细胞性胃肠炎诊断中的价值.中国医科大学, 2012.