지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.3
- 수록면
- 58 - 63 (6page)
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Purpose: Acute gangrenous cholecystitis (AGC) is a severe advanced form of cholecystitis, and it has a higher morbidity and mortality rate than that of acute nongangrenous cholecystitis (ANGC). Identifying the CT findings of gangrenous cholecystitis will enable physicians to make an early diagnosis and administer aggressive treatment.
Methods: From January 2005 to October 2007, the CT scans in 277 patients (80 with AGC, 149 with ANGC and 45 with normal gallbladder (NGB)) were retrospectively reviewed by 2 radiologists. We evaluated the findings that included wall thickening (>3mm), distension (transverse diameter > 5cm), gallstones, pericholecystic fluid, pericholecystic inflammation, mural striation, adjacent hepatic enhancement, pericholecystic abscess, an intraluminal membrane, an irregular or absent wall, gas in the wall or lumen, and intraperitoneal fluid. The sensitivity and specificity of the each CT finding for diagnosing AGC were calculated. The dimension and wall thickness of the gallbladder were also measured.
Results: The sensitivity, specificity and accuracy of CT for diagnosing AGC were 27%, 94% and 74%, respectively. The findings with the highest specificity for AGC were gas in the wall or lumen (100%), intraluminal membranes (99.5%), pericholecystic abscess (99.5%), an irregular or absent wall (98.5%), adjacent hepatic enhancement (97.9%), intraperitoneal fluid (96.9%), pericholecystitic fluid (95.6%), and mural striation (93.8%). The difference of the mean gallbladder wall thickness between the groups was statistically significant.
Conclusion: These specific CT findings, including the GB wall thickness, will assist clinicians in making an earlier and more exact diagnosis of gangrenous cholecystitis
Methods: From January 2005 to October 2007, the CT scans in 277 patients (80 with AGC, 149 with ANGC and 45 with normal gallbladder (NGB)) were retrospectively reviewed by 2 radiologists. We evaluated the findings that included wall thickening (>3mm), distension (transverse diameter > 5cm), gallstones, pericholecystic fluid, pericholecystic inflammation, mural striation, adjacent hepatic enhancement, pericholecystic abscess, an intraluminal membrane, an irregular or absent wall, gas in the wall or lumen, and intraperitoneal fluid. The sensitivity and specificity of the each CT finding for diagnosing AGC were calculated. The dimension and wall thickness of the gallbladder were also measured.
Results: The sensitivity, specificity and accuracy of CT for diagnosing AGC were 27%, 94% and 74%, respectively. The findings with the highest specificity for AGC were gas in the wall or lumen (100%), intraluminal membranes (99.5%), pericholecystic abscess (99.5%), an irregular or absent wall (98.5%), adjacent hepatic enhancement (97.9%), intraperitoneal fluid (96.9%), pericholecystitic fluid (95.6%), and mural striation (93.8%). The difference of the mean gallbladder wall thickness between the groups was statistically significant.
Conclusion: These specific CT findings, including the GB wall thickness, will assist clinicians in making an earlier and more exact diagnosis of gangrenous cholecystitis
목차
서론
방법
결과
고찰
결론
참고문헌
참고문헌 (28)
참고문헌 신청
1. [학술지(정기간행물)] - Weiss CA / 2002 / Current diagnosis and treatment of cholecystitis / Curr Surg 59 : 51 ~ 54
2. [학술지(정기간행물)] - Fry DE / 1981 / Gangrene of the gallbladder; a complication of acute cholecystitis / South Med J 74 : 666 ~ 668
3. [학술지(정기간행물)] - Nguyen Liz / 2004 / Use of a predictive equation for diagnosis of acute gangrenous cholecystitis / Am J Surg 188 : 463 ~ 466
4. [학술지(정기간행물)] - Habib FA / 2001 / Role of laparoscopic cholecystectomy in the management of gangrenous cholecystitis in acute cholecystitis / Am J Surg 181 : 71 ~ 75
5. [학술지(정기간행물)] - Merriam LT / 1999 / Gangrenous cholecystitis; analysis of risk factors and experience with laparoscopic cholecystectomy / Surgery 126 : 680 ~ 686
2. [학술지(정기간행물)] - Fry DE / 1981 / Gangrene of the gallbladder; a complication of acute cholecystitis / South Med J 74 : 666 ~ 668
3. [학술지(정기간행물)] - Nguyen Liz / 2004 / Use of a predictive equation for diagnosis of acute gangrenous cholecystitis / Am J Surg 188 : 463 ~ 466
4. [학술지(정기간행물)] - Habib FA / 2001 / Role of laparoscopic cholecystectomy in the management of gangrenous cholecystitis in acute cholecystitis / Am J Surg 181 : 71 ~ 75
5. [학술지(정기간행물)] - Merriam LT / 1999 / Gangrenous cholecystitis; analysis of risk factors and experience with laparoscopic cholecystectomy / Surgery 126 : 680 ~ 686
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UCI(KEPA) : I410-ECN-0101-2014-514-001248275