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首页> 外文期刊>Abdominal radiology. >Surgical management in acute diverticulitis and its association with multi-detector CT, modified Hinchey classification, and clinical parameters
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Surgical management in acute diverticulitis and its association with multi-detector CT, modified Hinchey classification, and clinical parameters

机译：急性憩室炎的手术管理及其与多探测器CT，改性的Hinchey分类和临床参数的关联

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Purpose To assess whether CT findings, clinical parameters, and modified Hinchey classification are predictive of management outcomes of patients with acute diverticulitis. Materials and methods Data were accrued between January 2014 and December 2015. A total of 301 adult subjects were identified from radiology reports, of which six who did not met the inclusion criteria were excluded, thus yielding 295 subjects. Subjects were 43.1% ( n ?=?127) male and 56.9% female ( n ?=?168), with mean age 51.9?years (range?18–90). Two independent abdominal radiologists reviewed all scans; imaging features and a modified Hinchey classification were scored. Descriptive statistics compared the relationships between imaging findings, clinical parameters?obtained from medical record review, and modified Hinchey classification with management outcomes. Results CT findings associated with surgical management include the presence of a pericolonic fluid collection (36.8% vs. 8.2%, P ?=?0.0001), colonic fistula (13.2% vs. 0.4%, P ?=?0.0002), extraluminal air (26.4% vs. 9.3%, P ?=?0.0052), bowel obstruction (5.2% vs. 0.0%, P ?=?0.0162), and a modified Hinchey score of Ib or higher (55.3% vs. 11.7%, P ?=?0.0001). Slightly lower systolic blood pressure was also associated with operative management (137.2?mmHg vs. 128.2?mmHg, P ?=?0.0220). Conclusion Specific CT imaging features and modified Hinchey classification are associated with subsequent surgical management in patients with acute diverticulitis.
机译：目的是评估CT结果，临床参数和修改的Hinchey分类是否可预测急性憩室炎患者的管理结果。材料和方法数据在2014年1月至2015年12月之间累计。总共有301名成年人报告确定，其中六名未达到纳入标准的六人被排除在外，因此产生了295个科目。受试者是43.1％（n？= 127）雄性和56.9％的女性（n？=？168），平均51.9岁？年（范围？18-90）。两个独立的腹部放射科医生审查了所有扫描;成像功能和修改后的Hinchey分类进行了评分。描述性统计数据比较了成像结果之间的关系，临床参数？从医疗记录审查中获得，并修改了管理结果的Hinchey分类。结果与手术管理相关的CT结果包括泌光液收集的存在（36.8％与8.2％，p？= 0.0001），结肠瘘（13.2％vs.0.4％，p？= 0.0002），颞下空气（ 26.4％对9.3％，p？= 0.0052），肠梗阻（5.2％与0.0％，p？= 0.0162），以及IB或更高的改性的Hinchey评分（55.3％与11.7％，p？ =？0.0001）。收缩压略低较低，与手术管理也有关（137.2？mmHg vs.128.2？mmHg，p？= 0.0220）。结论特异性CT成像特征和改性的Hinchey分类与急性憩室炎患者的后续手术管理有关。

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