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首页> 外文期刊>Abdominal radiology. >Three-dimensional CT enterography versus barium follow-through examination in measurement of remnant small intestinal length in short bowel syndrome patients
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Three-dimensional CT enterography versus barium follow-through examination in measurement of remnant small intestinal length in short bowel syndrome patients

机译：三维CT肠胃内肠杆摄影与钡后肠道检查，在短肠综合征患者中测量残余小肠长度

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Purpose: To evaluate the feasibility and accuracy of remnant small intestinal length measured by barium follow-through (BaFT) examination and three-dimensional CT enterography (CTe). Materials and methods: Twenty-nine consecutive short bowel syndrome patients (SBS) who underwent BaFT, CTe, and prior surgical measurements of small intestine were included. Measurements of total remnant small intestinal length on BaFT and CTe were compared to surgical measurements using Spearman's rank correlation coefficients, Bland-Altman plots, and paired t test. Results: The average remnant intestinal length was 73.1 ± 37.2 cm according to surgical measurement. There was a significant positive correlation between CTe and surgical measurement (r2 = 0.99;p < 0.0001), and a relatively weaker correlation between BaFT and surgical measurement (r2 = 0.71; p < 0.001). Compared with surgical measurement, the percentage differences of CTe and BaFT were 5.71 ± 6.71% and 27.14 ± 18.41% (mean ± SD), respectively. Furthermore, Bland-Altman plots showed good agreement between CTe and surgical measurement, whereas relatively poor agreement between BaFT and surgical measurement. However, significant difference was found among the three measurement methods by paired t test (p < 0.0001). Conclusions: Assessment of remnant small intestinal length by CTe is accurate and acceptable for clinical application, whereas BaFT is less accurate although BaFT is more convenient and cheaper for clinical application. And CTe can provide a cost-effective and noninvasive determination of remnant small intestinal length in planning surgical and nutritional intervention in SBS patients.
机译：目的：评估通过钡型（BAFF）检查和三维CT肠杆摄影（CTE）测量的残余小肠长度的可行性和准确性。包括材料和方法：包括二十九次连续的短肠综合征患者（SBS），患者，CTE和小肠的先前手术测量。使用Spearman的等级相关系数，Bland-Altman图和配对T测试将BAFT和CTE上总残余小肠长度的测量与手术测量进行比较。结果：根据手术测量，平均残余肠长为73.1±37.2厘米。 CTE和手术测量之间存在显着的正相关（R2 = 0.99; p <0.0001），叶果和手术测量之间的相关性相对较弱（R2 = 0.71; p <0.001）。与手术测量相比，CTE和BAFE的百分比差异分别为5.71±6.71％和27.14±18.41％（平均±SD）。此外，Bland-Altman情节在CTE和手术测量之间表现出良好的一致性，而鲍夫与手术测量之间的一致性相对较差。然而，通过配对T试验（P <0.0001），三种测量方法中发现了显着差异（P <0.0001）。结论：CTE评估剩余的小肠长度对临床应用的准确且可接受，而蛀虫对临床应用更方便和更便宜，但BAFT虽然贝加更准确。和CTE可以在SBS患者中规划外科和营养干预方面提供具有成本效益和非侵入性的小肠长度测定。

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