mr肠道成像及扫描前护理对克罗恩病肠道-泌尿道瘘的诊断价值
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【摘要】 目的 探讨 MR 肠道成像（MRE）及扫描前护理对克罗恩病（CD）肠道 - 泌尿道瘘 的诊断价值。方法 回顾性收集 22 例行手术治疗并有术前 MRE 扫描的 CD 肠道 - 泌尿道瘘患者临 床资料。在 MRE 图上观察肠道 - 泌尿道瘘的位置和形态，并在电子病例系统上查阅患者的扫描前护 理、扫描方案及手术记录。以术中所见的肠道 - 泌尿道瘘情况为金标准，分析 MRE 诊断肠道 - 泌尿 道瘘的优劣势以及扫描前护理工作对其诊断的影响。结果 22 例患者中，MRE 诊断为肠道 - 膀胱 瘘者 16 例和肠道 - 输尿管瘘者 5 例，手术诊断为肠道 - 膀胱瘘者 18 例和肠道 - 输尿管瘘者 15 例。 MRE 诊断肠道 - 膀胱瘘的准确性较高（AUC=0.944；P=0.006），但诊断肠道 - 输尿管瘘的准确性较低 （AUC=0.667；P=0.217）。未接受标准扫描前护理的患者 MRE 诊断肠道 - 泌尿道瘘的准确性（0/5） 远低于接受标准扫描前护理者（12/17）（P=0.010）。结论 MRE 对肠道 - 膀胱瘘具有较高的诊断价 值，但是难以准确诊断肠道 - 输尿管瘘；标准的 MRE 扫描前护理可改善图片质量而提高诊断准确率。
【关键词】 克罗恩病； 瘘； MR 肠道成像； 护理
Value of MR enterography and pre-scanning nursing care for the characterization of enteric-urinary fistula in Crohn's disease Yang Yanhong, Huang Siyun, Lin Jinjiang, Zhong Yingkui, Li Xuehhua. Department of Radiology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China Corresponding Autor:Li Xuehhua, Email: lix版 )2019 年 12 月第 13 卷第 6 期 Chin J Endourol(Electronic Edition), December 2019, Vol. 13, No. 6
临床研究
MR肠道成像及扫描前护理对克罗恩病 肠道-泌尿道瘘的诊断价值
杨艳红 黄斯韵 林锦江 钟英奎 李雪华
【Abstract】 Objective To evaluate the diagnostic value of MR enterography (MRE) and prescanning nursing care for the characterization of enteric-urinary fistula in Crohn's disease(CD). Methods The preoperative MRE of 22 CD patients with enteric-urinary fistulas who underwent surgery were retrospectively analyzed. The location and morphology of the enteric-urinary fistulas were observed on MRE, and the pre-scan nursing care, scan protocol and surgical records were reviewed on the electronic medical record. Using the intraoperative findings of enteric-urinary fistulas as reference standard, the strengths and weaknesses of MRE and the influence of pre-scan nursing care for diagnosing enteric-urinary fistulas were respectively analyzed. Results Of 22 patients, 16 had enteric-bladder fistulas and 5 had enteric-ureteral fistulas on MRE, while 18 had enteric-bladder fistulas and 15 had enteric-ureteral fistulas in surgery. The accuracy of MRE was high for the detection of enteric-bladder fistulas (AUC=0.944, P=0.006) but low for enteric-ureteral fistulas (AUC=0.667, P=0.217). The accuracy of MRE in the patients who did not receive standard pre-scan nursing care (0/5) is significantly lower than those who received standard prescan nursing care (12/17) (P=0.010). Conclusion The diagnostic value of MRE is high for the entericbladder fistulas but low for the enteric-ureteral fistula. A standard pre-scan nursing care can improve diagnostic accuracy by enhancing the MR images quality.
【关键词】 克罗恩病； 瘘； MR 肠道成像； 护理
Value of MR enterography and pre-scanning nursing care for the characterization of enteric-urinary fistula in Crohn's disease Yang Yanhong, Huang Siyun, Lin Jinjiang, Zhong Yingkui, Li Xuehhua. Department of Radiology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China Corresponding Autor:Li Xuehhua, Email: lix版 )2019 年 12 月第 13 卷第 6 期 Chin J Endourol(Electronic Edition), December 2019, Vol. 13, No. 6
临床研究
MR肠道成像及扫描前护理对克罗恩病 肠道-泌尿道瘘的诊断价值
杨艳红 黄斯韵 林锦江 钟英奎 李雪华
【Abstract】 Objective To evaluate the diagnostic value of MR enterography (MRE) and prescanning nursing care for the characterization of enteric-urinary fistula in Crohn's disease(CD). Methods The preoperative MRE of 22 CD patients with enteric-urinary fistulas who underwent surgery were retrospectively analyzed. The location and morphology of the enteric-urinary fistulas were observed on MRE, and the pre-scan nursing care, scan protocol and surgical records were reviewed on the electronic medical record. Using the intraoperative findings of enteric-urinary fistulas as reference standard, the strengths and weaknesses of MRE and the influence of pre-scan nursing care for diagnosing enteric-urinary fistulas were respectively analyzed. Results Of 22 patients, 16 had enteric-bladder fistulas and 5 had enteric-ureteral fistulas on MRE, while 18 had enteric-bladder fistulas and 15 had enteric-ureteral fistulas in surgery. The accuracy of MRE was high for the detection of enteric-bladder fistulas (AUC=0.944, P=0.006) but low for enteric-ureteral fistulas (AUC=0.667, P=0.217). The accuracy of MRE in the patients who did not receive standard pre-scan nursing care (0/5) is significantly lower than those who received standard prescan nursing care (12/17) (P=0.010). Conclusion The diagnostic value of MRE is high for the entericbladder fistulas but low for the enteric-ureteral fistula. A standard pre-scan nursing care can improve diagnostic accuracy by enhancing the MR images quality.