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目的探讨断层显像评估早期克罗恩病肠道损伤及预后的价值。方法回顾性分析82例早期克罗恩病患者的CT资料及随访结果,分析影响早期克罗恩氏病患者预后的因素。结果82例患者中,无死亡病例,27例出现并发症但未接受手术,2例行肠切除术。增厚形式、“梳齿征”阳性和肠壁厚度是克罗恩病预后的影响因素(P<0.01)。肠壁厚度预测克罗恩病预后不良的AUC为0.830,最佳临界值为8.65mm,特异度为71.7%,灵敏度为79.3%。结论肠壁较厚、肠壁呈环形增厚和“梳齿征”阳性是早期克罗恩氏病患者预后不良的影响因素,应关注以上特征,及时作出相应治疗。
Objective To investigate the value of tomography in assessing the intestinal damage and prognosis of early Crohn’s disease. Methods A retrospective analysis of 82 cases of early Crohn’s disease in patients with CT data and follow-up results, analysis of prognosis of early Crohn’s disease in patients with factors. Results 82 cases of patients, no deaths, complications occurred in 27 cases but did not receive surgery, 2 cases of intestinal resection. Thickening, “comb tooth sign” positive and bowel wall thickness were the influencing factors for the prognosis of Crohn’s disease (P <0.01). Bowel wall thickness prediction The poor prognosis of Crohn’s disease AUC was 0.830, the best cut-off value was 8.65mm, the specificity was 71.7% and the sensitivity was 79.3%. Conclusions The thicker intestinal wall, the thickening of the intestinal wall and the positive “Comb tooth sign” are the influencing factors of poor prognosis in patients with early Crohn’s disease. We should pay attention to the above characteristics and make appropriate treatment in time.