Diagnostic Value of CT Value of Creeping Fat around Intestinal Tube for Crohn's Activity
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摘要: 目的：探讨克罗恩病活动性病变患者系膜根部爬行脂肪CT值变化的特点。方法：选取2016年1月至2019年3月上海市静安区中心医院收治的31例克罗恩病活动期患者为研究对象，同时随机选取年龄、性别相匹配的克罗恩病非活动期患者/健康人群作为对照。收集临床资料包括小肠CT增强检查、小肠镜检查及其病理结果、临床免疫抑制治疗疗效。结果：克罗恩病活动期患者31例（男26例，女5例），对照组31例（男22例，女9例）。与对照组相比，克罗恩病活动期患者系膜根部爬行脂肪密度增高，增强后随时间延长可出现持续轻度强化。结论：克罗恩病病变肠管周围的爬行脂肪于疾病活动期可出现密度增高、持续性强化的特点，因此肠管周围爬行脂肪的CT值变化对克罗恩病的活动性具有诊断价值。Abstract: Objective: Investigate the CT value changes of creeping fat around the intestinal segment in Crohn's disease(CD).Methods: From January 2010 to March 2019, 31 patients with active CD(study group) and 31 age and gender matched inactive CD patients/healthy people(control group) were enrolled in the study.The people of study group and control group were tested for CT values of mesentery near the inflammatory intestinal wall, including CT values in plain scan, arterial phase, venous phase and delayed phase.Clinical data including enteroscopy and its pathological results, and clinical immunosuppressive therapy were collected.Results: There were 31 patients(26 males and 5 females) with active Crohn's disease(CD) in the study group.There were 31 patients(22 males and 11 females) in control group.The CT value of creeping fat in patients with Crohn's disease in active stage is higher than that in inactive CD patients/healthy people, and there may be sustained mild enhancement after enhancement over time.Conclusion: The creeping fat along the mesenteric border of bowel inflamed segments of CD can be denser and continuously strengthened during the active stage of the disease, so the change of CT value of the creeping fat around the intestinal tube has diagnostic value for Crohn's disease activity.
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Keywords:
- Crohn's disease(CD) /
- active stage /
- creeping fat /
- CT value change
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期刊类型引用(2)
1. 林望望，黄伟. 双能量CT对肠系膜脂肪在克罗恩病活动性评估的价值研究. 重庆医学. 2021(03): 388-392 . 
百度学术
2. 李璐，梁宗辉. 腹部脂肪定量评估在克罗恩病中的临床应用进展. 国际医学放射学杂志. 2021(01): 72-75 . 百度学术
其他类型引用(1)
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